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General NPI Number Information
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NPI Number | 1679587646
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Entity Type | Individual
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Provider Name | DIANA LYNN HONEBRINK M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 10390 N LA CANADA DR STE 110
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City | ORO VALLEY
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State | AZ
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Zip | 85737-7273
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Country | US
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Telephone | 520-420-2110
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Fax | 520-420-2111
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Provider Business Mailing Address
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Address Line | 1856 E INNOVATION PARK DR
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City | ORO VALLEY
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State | AZ
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Zip | 85755-1963
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Country | US
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Telephone | 520-825-7111
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Fax | 520-818-1253
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 29773
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License Number State | AZ
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