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General NPI Number Information
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NPI Number | 1942771761
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Entity Type | Individual
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Provider Name | BRITTANY HOLMAN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 8201 15TH AVE
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City | HYATTSVILLE
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State | MD
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Zip | 20783-2429
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Country | US
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Telephone | 301-445-8423
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Fax |
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Provider Business Mailing Address
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Address Line | 8010 GREENBELT STATION PKWY APT 306
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City | GREENBELT
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State | MD
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Zip | 20770-4186
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Country | US
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Telephone | 706-755-8991
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 08985
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License Number State | MD
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