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General NPI Number Information
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NPI Number | 1780714675
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Entity Type | Individual
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Provider Name | JESSICA BRIT HOLT DNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 889 PACIFIC ST
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-649-0175
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Fax | 831-646-0220
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Provider Business Mailing Address
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Address Line | PO BOX 4797
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City | BELFAST
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State | ME
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Zip | 04915
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Country | US
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Telephone | 831-649-0175
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Fax | 831-649-0220
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN697980
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 17238
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License Number State | CA
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