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General NPI Number Information
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NPI Number | 1275846610
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Entity Type | Organization
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Legal Business Name | YVONNE HONOVICH, PLLC
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 5906 S SCHOONER PL
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City | BOISE
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State | ID
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Zip | 83716-9091
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Country | US
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Telephone | 208-385-9180
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 S ORCHARD ST SUITE A
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City | BOISE
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State | ID
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Zip | 83705-6722
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Country | US
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Telephone | 208-383-3703
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Fax | 208-383-3702
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Authorized Official
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Title or Position | OWNER
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Name | YVONNE HONOVICH
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Credential |
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Telephone | 208-383-3703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA-870
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License Number State | ID
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