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General NPI Number Information
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NPI Number | 1942627443
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Entity Type | Individual
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Provider Name | NAOMI HOLZER
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Gender | Female
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 3900 GREYSTONE AVE SUITE 42A
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City | BRONX
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State | NY
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Zip | 10463-1937
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Country | US
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Telephone | 917-597-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 GREYSTONE AVENUE SUITE 42A
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City | BRONX
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State | NY
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Zip | 10463-1935
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Country | US
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Telephone | 917-597-7400
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 420660
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 000392
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License Number State | NY
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