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General NPI Number Information
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NPI Number | 1124882550
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Entity Type | Organization
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Legal Business Name | HONORHEALTH MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 16840 W WADDELL RD STE 110
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City | SURPRISE
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State | AZ
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Zip | 85388-9617
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Country | US
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Telephone | 623-683-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 W UTOPIA RD
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City | PHOENIX
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State | AZ
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Zip | 85027-4171
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Country | US
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Telephone | 623-683-4529
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | JOHN NEIL
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Credential |
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Telephone | 480-587-5123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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