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General NPI Number Information
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NPI Number | 1053613075
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Entity Type | Organization
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Legal Business Name | HORIZON INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 1508 MAIN STREET
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City | RAMSEUR
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State | NC
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Zip | 27316-0218
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Country | US
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Telephone | 336-824-2255
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Fax | 336-824-8333
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Provider Business Mailing Address
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Address Line | 138 DUBLIN SQUARE RD STE B
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City | ASHEBORO
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State | NC
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Zip | 27203-8601
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Country | US
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Telephone | 336-824-2255
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Fax | 336-824-8333
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Authorized Official
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Title or Position | OWNER
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Name | IMRAN P HAQUE
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Credential | MD
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Telephone | 336-610-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 200201092
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License Number State | NC
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