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General NPI Number Information
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NPI Number | 1841664489
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Entity Type | Individual
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Provider Name | LA TOSHA HOLMES CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 9 PROFESSIONAL PARK DR STE 9C
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City | WEBSTER
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State | TX
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Zip | 77598-4142
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Country | US
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Telephone | 832-284-7083
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Fax | 281-525-4123
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Provider Business Mailing Address
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Address Line | 9 PROFESSIONAL PARK DR STE 9C
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City | WEBSTER
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State | TX
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Zip | 77598-4142
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Country | US
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Telephone | 832-284-7083
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Fax | 281-525-4123
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP129641
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 729265
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License Number State | TX
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