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General NPI Number Information
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NPI Number | 1942593405
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Entity Type | Individual
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Provider Name | MARY P HOLC NP
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Gender | Female
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 4260 CROSSINGS BLVD STE B
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City | PRINCE GEORGE
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State | VA
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Zip | 23875-1400
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Country | US
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Telephone | 804-452-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 4260 CROSSINGS BLVD
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City | PRINCE GEORGE
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State | VA
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Zip | 23875-1400
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Country | US
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Telephone | 804-452-5800
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024169406
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License Number State | VA
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