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NPI Code Detail

MEDICARE: DANIELLE STAR HOLZWORTH

MEDICARE: DANIELLE STAR HOLZWORTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianBCAB458532NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
293-3893775OTHERNCTRICARE

General Provider Information

NPI Number : 1093596900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE STAR HOLZWORTH
Provider Business Mailing Address
First Line : 1516 BERRIEDALE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-5503
Country : US
Telephone Number : 910-545-7561
Fax Number : 910-491-1516
Provider Business Practice Location Address
First Line : 1516 BERRIEDALE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-5503
Country : US
Telephone Number : 910-545-7561
Fax Number : 910-491-1516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2023
Last Update Date : 05/04/2026

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Directions to “ DANIELLE STAR HOLZWORTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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