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General NPI Number Information
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NPI Number | 1972664951
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Entity Type | Individual
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Provider Name | NANCY N HOLMAN DC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 42W580 EMPIRE RD FRNT 1
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City | SAINT CHARLES
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State | IL
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Zip | 60175-8384
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Country | US
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Telephone | 630-484-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 82 WEST 63RD ST
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City | WILLOWBROOK
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State | IL
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Zip | 60527
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Country | US
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Telephone | 630-455-4210
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Fax | 630-455-4211
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038006089
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License Number State | IL
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