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General NPI Number Information
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NPI Number | 1124471685
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Entity Type | Individual
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Provider Name | BENJAMIN HORN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 15 ROCHE BROTHERS WAY STE 110
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City | NORTH EASTON
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State | MA
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Zip | 02356-1000
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Country | US
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Telephone | 781-792-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 960 MASSACHUSETTS AVE
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City | BOSTON
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State | MA
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Zip | 02118-2620
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Country | US
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Telephone | 617-414-5405
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS019927
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | OT017102
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1013557
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License Number State | MA
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