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General NPI Number Information
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NPI Number | 1922021278
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Entity Type | Organization
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Legal Business Name | ROXANNE HON MD, INC.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 8030 LA MESA BLVD #143
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City | LA MESA
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State | CA
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Zip | 91942-0335
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Country | US
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Telephone | 619-697-7900
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Fax | 619-462-6428
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Provider Business Mailing Address
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Address Line | 8030 LA MESA BLVD #143
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City | LA MESA
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State | CA
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Zip | 91942-0335
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Country | US
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Telephone | 619-697-7900
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Fax | 619-462-6428
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Authorized Official
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Title or Position | OWNER
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Name | ROXANNE AUDREY HON
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Credential | MD
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Telephone | 619-697-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A56292
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License Number State | CA
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