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General NPI Number Information
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NPI Number | 1073070371
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Entity Type | Organization
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Legal Business Name | DR BEAU A HORNER LLC
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Dates
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Enumeration Date | 02/23/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 10221 N 32ND ST STE G
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City | PHOENIX
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State | AZ
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Zip | 85028-3849
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Country | US
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Telephone | 480-470-0133
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Fax | 602-429-8368
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Provider Business Mailing Address
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Address Line | 10221 N 32ND ST STE G
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City | PHOENIX
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State | AZ
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Zip | 85028-3849
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Country | US
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Telephone | 480-470-0133
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Fax | 602-429-8368
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Authorized Official
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Title or Position | OWNER
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Name | BEAU A HORNER
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Credential | DC
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Telephone | 480-470-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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