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General NPI Number Information
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NPI Number | 1841672383
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Entity Type | Individual
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Provider Name | JEREMY SETH HONAKER PHD,MSN, FNP-C, DCNP
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Gender | Male
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Dates
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Enumeration Date | 06/21/2015
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 7500 AUBURN RD STE 2500
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-9614
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Country | US
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Telephone | 216-378-4142
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 AUBURN RD STE 2500
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-9614
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Country | US
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Telephone | 330-888-2141
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17504-NP
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License Number State | OH
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