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General NPI Number Information
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NPI Number | 1003391905
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Entity Type | Individual
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Provider Name | REBECCA HORST PA
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 817 PRINCETON AVE SW STE 306
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1349
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Country | US
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Telephone | 205-783-0160
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Fax | 205-788-6249
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Provider Business Mailing Address
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Address Line | 817 PRINCETON AVE SW STE 306
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1349
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Country | US
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Telephone | 205-783-0160
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Fax | 205-788-6249
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | PA.1238
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA.1238
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License Number State | AL
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