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General NPI Number Information
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NPI Number | 1972903821
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Entity Type | Individual
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Provider Name | JOHN HONEYCUTT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 2114 S MAIN ST
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City | WAKE FOREST
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State | NC
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Zip | 27587-8817
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Country | US
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Telephone | 919-562-9519
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Fax | 919-562-9588
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Provider Business Mailing Address
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Address Line | 214 SOUTH MAIN STEET
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City | WAKE FOREST
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State | NC
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Zip | 27587
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Country | US
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Telephone | 919-562-9519
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Fax | 919-562-9588
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7298
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License Number State | NC
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