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General NPI Number Information
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NPI Number | 1982607776
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Entity Type | Individual
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Provider Name | TODD READ HOLMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 1009 N 4TH ST STE A
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City | LONGVIEW
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State | TX
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Zip | 75601-4768
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Country | US
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Telephone | 903-757-3808
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Fax | 903-757-3893
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Provider Business Mailing Address
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Address Line | PO BOX 847176
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City | DALLAS
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State | TX
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Zip | 75284-7176
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Country | US
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Telephone | 903-237-1800
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Fax | 903-237-1810
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | F9577
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | F9577
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License Number State | TX
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