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General NPI Number Information
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NPI Number | 1982074613
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Entity Type | Individual
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Provider Name | BRIANNE HOLMES CPNP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 51 NASSAU ST
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City | CHARLESTON
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State | SC
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Zip | 29403-5513
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Country | US
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Telephone | 843-722-4112
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 ORANGE BRANCH RD
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City | CHARLESTON
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State | SC
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Zip | 29407-3302
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Country | US
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Telephone | 269-352-9910
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN1035928
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R218831
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 24950
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License Number State | SC
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