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General NPI Number Information
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NPI Number | 1144491663
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Entity Type | Organization
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Legal Business Name | HON MEDICAL GROUP, PC
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 196 RIDGECREST CIR
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City | CLAYTON
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State | GA
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Zip | 30525-4111
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Country | US
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Telephone | 770-883-8139
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Fax |
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Provider Business Mailing Address
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Address Line | 2172 HUNTERS GREEN DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5185
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Country | US
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Telephone | 770-995-4995
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID C HON
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Credential | MD
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Telephone | 770-995-4995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 040102
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License Number State | GA
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