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General NPI Number Information
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NPI Number | 1902881717
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Entity Type | Individual
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Provider Name | DOUGLAS KEITH HOLTZMAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 136 STONEMARK LN STE 100
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City | COLUMBIA
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State | SC
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Zip | 29210-3881
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Country | US
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Telephone | 888-704-4661
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Fax | 888-239-2595
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Provider Business Mailing Address
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Address Line | 187 N CHURCH ST STE 201
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City | SPARTANBURG
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State | SC
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Zip | 29306-5154
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Country | US
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Telephone | 800-932-2738
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Fax | 888-761-8483
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 200200544
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 200200544
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License Number State | NC
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