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General NPI Number Information
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NPI Number | 1023343233
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Entity Type | Organization
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Legal Business Name | HORIZON HEALTH AND WELLNESS, INC.
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 3180 E 40TH ST
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City | YUMA
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State | AZ
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Zip | 85365-7772
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Country | US
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Telephone | 480-983-0065
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Fax | 480-288-5339
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Provider Business Mailing Address
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Address Line | 625 N. PLAZA DRIVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-5501
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Country | US
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Telephone | 480-983-0065
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Fax | 480-671-4541
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LAURA LARSON-HUFFAKER
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Credential | MC, LPC
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Telephone | 480-983-0065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 3460
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License Number State | AZ
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