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General NPI Number Information
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NPI Number | 1669358552
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Entity Type | Organization
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Legal Business Name | HONORHEALTH AMBULATORY
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 5133 N CENTRAL AVE STE 206
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City | PHOENIX
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State | AZ
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Zip | 85012-1438
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Country | US
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Telephone | 623-580-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 W UTOPIA RD
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City | PHOENIX
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State | AZ
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Zip | 85027-4171
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | JOHN NEIL
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Credential |
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Telephone | 480-587-5123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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