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NPI 1063636256

NPI 1063636256 : HORIZONS SPECIALIZED SERVICES : STEAMBOAT SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1063636256
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    Entity Type          |    Organization 
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    Legal Business Name  |    HORIZONS SPECIALIZED SERVICES 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    03/07/2017
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Provider Practice Location Address
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    Address Line         |    405 OAK STREET 
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    City                 |    STEAMBOAT SPRINGS
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    State                |    CO
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    Zip                  |    80477-4867
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    Country              |    US
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    Telephone            |    970-879-4466
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    Fax                  |    970-870-0334
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Provider Business Mailing Address
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    Address Line         |    PO BOX 774867 405 OAK ST
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    City                 |    STEAMBOAT SPRINGS
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    State                |    CO
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    Zip                  |    80477-4867
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    Country              |    US
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    Telephone            |    970-879-4466
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    Fax                  |    970-870-0334
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     SUSAN  MIZEN 
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    Credential           |    
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    Telephone            |    970-879-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152WV0400X
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    Taxonomy Name        |    Vision Therapy Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    171WV0202X
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    Taxonomy Name        |    Vehicle Modifications Contractor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    CO
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Taxonomy #5
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    373H00000X
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    Taxonomy Name        |    Day Training/Habilitation Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    04F924
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    License Number State |    CO
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Taxonomy #8
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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