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General NPI Number Information
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NPI Number | 1790595866
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Entity Type | Individual
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Provider Name | PIA S HOLMES
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 17152 THE TRAIL
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City | KING AND QUEEN CH
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State | VA
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Zip | 28085
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Country | US
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Telephone | 804-785-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 204 JOANNE DR
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City | SEAFORD
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State | VA
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Zip | 23696-2447
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Country | US
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Telephone | 757-810-3211
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Fax |
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | PPS-0604747
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License Number State | VA
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