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General NPI Number Information
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NPI Number | 1861668808
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Entity Type | Individual
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Provider Name | KATHERINE ZIBILICH HOLCOMB M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 3100 GALLERIA DR STE 203
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City | METAIRIE
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State | LA
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Zip | 70001-2196
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Country | US
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Telephone | 504-226-7873
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Fax | 504-290-3376
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Provider Business Mailing Address
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Address Line | 145 ROBERT E LEE BLVD STE 302 NAVAL HOSPITAL
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City | NEW ORLEANS
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State | LA
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Zip | 70124-2593
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Country | US
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Telephone | 504-288-2381
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Fax | 504-288-1535
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 01297
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | MD.205281
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD205281
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License Number State | LA
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