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General NPI Number Information
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NPI Number | 1932328267
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Entity Type | Individual
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Provider Name | JASON HOLT MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1100 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 479-443-4301
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Fax | 479-587-6106
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Provider Business Mailing Address
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Address Line | 4019 N REMINGTON DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-6344
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Country | US
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Telephone | 479-595-8192
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Fax | 479-442-1748
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-6510
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | E-6510
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License Number State | AR
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