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General NPI Number Information
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NPI Number | 1033158209
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Entity Type | Individual
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Provider Name | ALEX M HORCHAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1500 DELHI ST SUITE 4300
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City | DUBUQUE
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State | IA
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Zip | 52001-6358
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Country | US
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Telephone | 563-557-5971
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Fax | 563-557-5973
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Provider Business Mailing Address
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Address Line | 1500 DELHI ST SUITE 4300
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City | DUBUQUE
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State | IA
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Zip | 52001-6358
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Country | US
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Telephone | 563-557-5971
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Fax | 563-557-5973
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 32513
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2008-00739
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 20134
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 40582
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License Number State | IA
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