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General NPI Number Information
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NPI Number | 1871614370
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Entity Type | Individual
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Provider Name | KEREN MARIE HOLMES MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE STE 222
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-302-1111
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Fax | 153-017-0358
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Provider Business Mailing Address
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Address Line | 3098 CAMPBELL STATION PKWY
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City | SPRING HILL
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State | TN
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Zip | 37174-6270
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Country | US
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Telephone | 615-302-1111
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Fax | 615-302-2853
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 059427
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0000043713
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License Number State | TN
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