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General NPI Number Information
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NPI Number | 1841371416
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Entity Type | Organization
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Legal Business Name | PAUL A. HOLMES, P.C.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 1412 N GRANDVIEW AVE
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City | ODESSA
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State | TX
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Zip | 79761-3140
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Country | US
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Telephone | 432-366-5848
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Fax | 432-367-4167
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Provider Business Mailing Address
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Address Line | 1412 N GRANDVIEW AVE
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City | ODESSA
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State | TX
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Zip | 79761-3140
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Country | US
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Telephone | 432-366-5848
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Fax | 432-367-4167
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. PAUL ANTHONY HOLMES
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Credential | DC
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Telephone | 432-366-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8253
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License Number State | TX
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