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General NPI Number Information
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NPI Number | 1851656268
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Entity Type | Individual
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Provider Name | VICTORIA MICHELLE HONEYSUCKER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 727 GRACE AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-2927
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Country | US
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Telephone | 601-310-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 727 GRACE AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-2927
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Country | US
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Telephone | 601-310-2615
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27309
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1217930
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License Number State | TX
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