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General NPI Number Information
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NPI Number | 1750230314
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Entity Type | Individual
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Provider Name | RAYNE ELIZABETH HOLMSON
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | W57N14280 DOERR WAY STE 102
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City | CEDARBURG
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State | WI
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Zip | 53012-3108
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Country | US
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Telephone | 414-662-4149
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Fax | 414-626-9054
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Provider Business Mailing Address
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Address Line | 1661 HARRISON ST APT 7
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City | NEENAH
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State | WI
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Zip | 54956-4586
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Country | US
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Telephone | 414-662-4149
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Fax | 414-626-9054
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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