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General NPI Number Information
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NPI Number | 1922452028
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Entity Type | Individual
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Provider Name | ANTHONY L HOLBERT
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Gender | Male
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 1316 EUCLID ST NW APT CK8
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City | WASHINGTON
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State | DC
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Zip | 20009-4831
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Country | US
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Telephone | 202-290-9885
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Fax |
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Provider Business Mailing Address
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Address Line | 2337 PITTS PL SE APT 303
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City | WASHINGTON
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State | DC
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Zip | 20020-4979
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Country | US
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Telephone | 202-290-9885
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA00607833
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA12091
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License Number State | DC
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