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General NPI Number Information
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NPI Number | 1487619383
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Entity Type | Individual
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Provider Name | PATRICK ALLEN HONAKER MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 600 E PALMETTO ST
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City | FLORENCE
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State | SC
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Zip | 29506-2851
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Country | US
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Telephone | 843-667-9414
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Fax | 843-667-1362
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Provider Business Mailing Address
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Address Line | 412 KIMBALL DR
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City | MARION
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State | SC
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Zip | 29571-1916
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Country | US
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Telephone | 843-423-9057
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 17870
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9500942
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 17870
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License Number State | SC
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