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General NPI Number Information
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NPI Number | 1063717312
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Entity Type | Organization
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Legal Business Name | HORIZON HEALTH CARE INC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 806 8TH STREET
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City | SPRINGFIELD
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State | SD
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Zip | 57062
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Country | US
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Telephone | 605-369-2627
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Fax | 605-369-5627
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Provider Business Mailing Address
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Address Line | 806 8TH STREET
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City | SPRINGFIELD
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State | SD
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Zip | 57062
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Country | US
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Telephone | 605-369-2627
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Fax | 605-369-5627
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Authorized Official
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Title or Position | CEO
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Name | JOHN MENGENHAUSEN
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Credential | CEO
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Telephone | 605-772-4525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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