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General NPI Number Information
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NPI Number | 1013417880
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Entity Type | Individual
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Provider Name | BRIAN HORNAK PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/17/2018
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 713 BETHLEHEM PIKE
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9602
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Country | US
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Telephone | 267-695-3944
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 SPRING MILL CT
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City | YARDLEY
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State | PA
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Zip | 19067-5732
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Country | US
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Telephone | 908-420-7705
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA059712
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00464000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA005801
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License Number State | PA
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