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General NPI Number Information
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NPI Number | 1497816151
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Entity Type | Organization
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Legal Business Name | STUART W. HONICK, D.P.M., P.T., LLC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 8 N WHITE HORSE PIKE SUITE 103
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City | HAMMONTON
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State | NJ
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Zip | 08037-1873
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Country | US
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Telephone | 609-704-9001
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Fax | 609-704-8316
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Provider Business Mailing Address
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Address Line | 8 N WHITE HORSE PIKE SUITE 103
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City | HAMMONTON
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State | NJ
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Zip | 08037-1873
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Country | US
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Telephone | 609-704-9001
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Fax | 609-704-8316
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Authorized Official
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Title or Position | OWNER
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Name | DR. STUART WARREN HONICK
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Credential | DPM
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Telephone | 609-704-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00228000
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License Number State | NJ
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