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General NPI Number Information
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NPI Number | 1891967758
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Entity Type | Individual
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Provider Name | KAREN M HONIKEL-MARLETT PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 586 BRANNEN ST
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City | STATESBORO
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State | GA
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Zip | 30458-5557
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Country | US
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Telephone | 912-871-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 610 N WILLIAMSBURG RD
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City | SAVANNAH
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State | GA
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Zip | 31419-1022
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Country | US
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Telephone | 518-229-2408
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1515
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 7103
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License Number State | GA
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