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General NPI Number Information
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NPI Number | 1134740061
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Entity Type | Organization
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Legal Business Name | HORIZON FAMILY MEDICAL PRACTICE LLC
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 1236 ROYAL PALM BEACH BLVD STE 108
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1602
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Country | US
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Telephone | 561-774-8660
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Fax | 561-774-8665
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Provider Business Mailing Address
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Address Line | 1236 ROYAL PALM BEACH BLVD STE 108
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1602
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Country | US
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Telephone | 561-774-8660
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Fax | 561-774-8660
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Authorized Official
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Title or Position | CREDENTIAL MANAGER
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Name | VALEREY BARTHELEMY
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Credential |
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Telephone | 561-774-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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