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General NPI Number Information
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NPI Number | 1124342837
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Entity Type | Organization
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Legal Business Name | HORIZON OMS, INC
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 3333 PINNACLE HILLS PKWY SUITE 140
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City | ROGERS
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State | AR
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Zip | 72758-8953
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Country | US
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Telephone | 479-464-5800
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Fax | 479-464-5880
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Provider Business Mailing Address
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Address Line | PO BOX 1736
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City | SEARCY
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State | AR
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Zip | 72145-1736
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Country | US
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Telephone | 479-464-5800
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Fax | 479-464-5880
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK ANDREW BABER
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Credential | DDS
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Telephone | 479-464-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 3594
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License Number State | AR
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