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General NPI Number Information
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NPI Number | 1093731283
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Entity Type | Individual
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Provider Name | LAWRENCE EDWARD HOENING P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 5045 SOUTEL DR STE 12
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City | JACKSONVILLE
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State | FL
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Zip | 32208-1885
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Country | US
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Telephone | 190-446-8794
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Fax | 904-468-7944
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Provider Business Mailing Address
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Address Line | 5045 SOUTEL DR STE 12
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City | JACKSONVILLE
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State | FL
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Zip | 32208-1885
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Country | US
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Telephone | 904-446-8794
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Fax | 904-396-6528
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA91031
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9103141
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License Number State | FL
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