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General NPI Number Information
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NPI Number | 1073585014
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Entity Type | Individual
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Provider Name | VINCENT J HONAN MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 77 W FOREST AVE STE 210
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-1481
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Country | US
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Telephone | 928-773-2547
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Fax | 928-773-2548
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Provider Business Mailing Address
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Address Line | 5343 E PALOMINO RD
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City | PHOENIX
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State | AZ
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Zip | 85018-1911
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Country | US
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Telephone | 602-677-2798
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Fax | 928-773-2548
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 19895
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License Number State | AZ
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