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General NPI Number Information
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NPI Number | 1932177235
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Entity Type | Individual
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Provider Name | YANCEY R. HOLMES M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 1500 JAMES SIMPSON JR WAY
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City | COVINGTON
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State | KY
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Zip | 41011-0801
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Country | US
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Telephone | 859-655-8910
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Fax | 859-655-8911
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-655-8910
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Fax | 859-655-8911
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35073095
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 01084814A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 37247
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License Number State | KY
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