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General NPI Number Information
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NPI Number | 1750575643
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Entity Type | Individual
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Provider Name | ADRIANA K HOLY MD
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Gender | Female
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 4530 E SHEA BLVD STE 101
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City | PHOENIX
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State | AZ
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Zip | 85028-6066
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Country | US
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Telephone | 602-867-7546
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Fax | 608-971-0065
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Provider Business Mailing Address
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Address Line | 4530 E SHEA BLVD STE 101
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City | PHOENIX
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State | AZ
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Zip | 85028-6066
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Country | US
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Telephone | 602-867-7546
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Fax | 608-971-0065
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 20919
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License Number State | AZ
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