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General NPI Number Information
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NPI Number | 1942353370
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Entity Type | Individual
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Provider Name | NANCY A. HONEYCHUCK FNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 632 E SANGERVILLE RD
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City | SANGERVILLE
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State | ME
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Zip | 04479-3227
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Country | US
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Telephone | 716-361-9167
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Fax |
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Provider Business Mailing Address
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Address Line | 632 E SANGERVILLE RD
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City | SANGERVILLE
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State | ME
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Zip | 04479-3227
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Country | US
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Telephone | 716-361-9167
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2602
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R207225-6
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP2456
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 191177
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP191177
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License Number State | ME
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