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General NPI Number Information
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NPI Number | 1902765688
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Entity Type | Individual
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Provider Name | HOLLY M CARRIER PTA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 2076 S INDEPENDENCE BLVD STE 1B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-4773
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Country | US
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Telephone | 757-622-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 COLDWELL ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7603
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Country | US
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Telephone | 662-444-2022
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306603328
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License Number State | VA
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