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General NPI Number Information
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NPI Number | 1881895746
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Entity Type | Organization
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Legal Business Name | HOLT CHIROPRACTIC OFFICES, P.C.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 675 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10704-3855
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Country | US
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Telephone | 914-964-5771
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Fax | 914-964-5773
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Provider Business Mailing Address
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Address Line | 675 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10704-3855
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Country | US
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Telephone | 914-964-5771
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Fax | 914-964-5773
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN PATRICK HOLT
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Credential | D.C.
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Telephone | 914-964-5771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 003146
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | X1932
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License Number State | NY
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