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General NPI Number Information
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NPI Number | 1144201203
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Entity Type | Organization
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Legal Business Name | HORIZON HOSPICE LLC
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1133 N MAIN ST
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City | LAYTON
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State | UT
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Zip | 84041-4800
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Country | US
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Telephone | 801-546-4368
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Fax | 801-546-1053
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Provider Business Mailing Address
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Address Line | 380 N 1550 E
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City | LAYTON
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State | UT
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Zip | 84040-4539
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Country | US
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Telephone | 801-546-4368
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Fax | 801-546-1053
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAIVD L PREECE
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Credential |
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Telephone | 801-546-4368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | Z85154
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License Number State | UT
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