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General NPI Number Information
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NPI Number | 1639902646
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Entity Type | Organization
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Legal Business Name | HONOR LOGISTICS INC
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Dates
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Enumeration Date | 08/23/2024
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 1872 SOUTHRIDGE AVE APT 3
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City | MENOMONIE
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State | WI
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Zip | 54751-5017
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Country | US
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Telephone | 715-505-5048
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Fax | 715-500-5156
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Provider Business Mailing Address
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Address Line | 400 S. 4TH ST. STE 410 UNIT 45070
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City | MINNEAPOLIS
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State | MN
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Zip | 55415
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Country | US
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Telephone | 715-829-4361
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RYAN T HOEFER
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Credential |
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Telephone | 715-829-4361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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