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General NPI Number Information
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NPI Number | 1851718399
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Entity Type | Individual
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Provider Name | STEVEN ALLEN HOLMAN AGNP
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Gender | Male
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Dates
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Enumeration Date | 03/22/2014
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 1525 W CARO RD
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City | CARO
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State | MI
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Zip | 48723-9686
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Country | US
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Telephone | 989-672-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 9904 ALBA HWY
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City | ELMIRA
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State | MI
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Zip | 49730-9299
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Country | US
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Telephone | 231-584-2091
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4704266143
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704266143
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License Number State | MI
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