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NPI 1023416898

NPI 1023416898 : MICHELLE GILES-HONORE APN : MONTCLAIR, NJ

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General NPI Number Information
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    NPI Number           |    1023416898
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE GILES-HONORE APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/10/2014
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    Last Update Date     |    06/24/2025
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Provider Practice Location Address
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    Address Line         |    28 VALLEY RD # 148 
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    City                 |    MONTCLAIR
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    State                |    NJ
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    Zip                  |    07042-2709
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    Country              |    US
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    Telephone            |    973-559-4600
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    Fax                  |    855-998-4358
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Provider Business Mailing Address
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    Address Line         |    90 WASHINGTON ST # 305
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    City                 |    EAST ORANGE
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    State                |    NJ
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    Zip                  |    07017-1050
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    Country              |    US
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    Telephone            |    973-676-2492
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    Fax                  |    973-676-5901
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    26NJ00523400
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    License Number State |    NJ
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