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General NPI Number Information
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NPI Number | 1972893311
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Entity Type | Individual
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Provider Name | MRS. JUDITH T HOLMES
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Gender | Female
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 7452 RIVERMONT TRL
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City | HOUSE SPRINGS
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State | MO
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Zip | 63051-2085
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Country | US
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Telephone | 314-650-0508
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Fax |
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Provider Business Mailing Address
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Address Line | 5853 MIDRIDGE DR
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City | HOUSE SPRINGS
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State | MO
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Zip | 63051-1705
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Country | US
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Telephone | 636-677-8379
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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