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General NPI Number Information
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NPI Number | 1003469461
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Entity Type | Individual
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Provider Name | JOSEPH HORJUS PT, DPT, AT, ATC,
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Gender | Male
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 315 TURWILL LN
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City | KALAMAZOO
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State | MI
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Zip | 49006-4231
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Country | US
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Telephone | 269-488-7380
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Fax | 269-382-8495
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Provider Business Mailing Address
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Address Line | 315 TURWILL LN
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City | KALAMAZOO
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State | MI
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Zip | 49006-4231
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Country | US
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Telephone | 269-488-7380
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Fax | 269-382-8495
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2601001039
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501017348
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License Number State | MI
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