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1922389634 NPI number — HOLLY LYNN HOLTER PA-C

NPI Number: 1922389634
Health Care Provider/Practitioner: HOLLY LYNN HOLTER PA-C

Information about “1922389634” NPI (HOLLY LYNN HOLTER PA-C) exists in 1922389634 in HTML format HTML  |  1922389634 in plain Text format TXT  |  1922389634 in PDF (Portable Document Format) PDF  |  1922389634 in an XML format XML  formats.

NPI Number : 1922389634 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922389634",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLTER",
    "FirstName": "HOLLY",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1607 KIERSTEN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOREST HILL",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21050-1906",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-777-2303",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9000 FRANKLIN SQUARE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21237-3901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-777-2303",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/08/2011",
    "LastUpdateDate": "11/01/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "C04636",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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