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General NPI Number Information
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NPI Number | 1093849325
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Entity Type | Individual
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Provider Name | MARC LANCE HOROWITZ DDS
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Gender | Male
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 81 MAIN ST
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City | HARRINGTON
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State | ME
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Zip | 04643-3000
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Country | US
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Telephone | 207-483-4502
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Fax | 207-483-4778
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Provider Business Mailing Address
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Address Line | PO BOX 605
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City | ELLSWORTH
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State | ME
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Zip | 04605-0605
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Country | US
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Telephone | 207-667-2770
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Fax | 207-667-2744
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3679
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License Number State | ME
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