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General NPI Number Information
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NPI Number | 1568556272
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Entity Type | Organization
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Legal Business Name | CARLO HONRADO, MD PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1055 SAW MILL RIVER RD SUITE 101
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City | ARDSLEY
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State | NY
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Zip | 10502-1045
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Country | US
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Telephone | 914-693-7636
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Fax | 914-886-0027
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Provider Business Mailing Address
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Address Line | PO BOX 272
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City | VALHALLA
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State | NY
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Zip | 10595-0272
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Country | US
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Telephone | 914-693-7636
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Fax | 914-886-0027
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLO HONRADO
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Credential | MD
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Telephone | 914-693-7636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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