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General NPI Number Information
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NPI Number | 1194756429
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Entity Type | Individual
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Provider Name | NIKOLAY PETROV HOROZOV M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 53 CENTURY BOULEVARD, SUITE 200 MHM SERVICES, INC.
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City | NASHVILLE
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State | TN
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Zip | 37214-3693
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Country | US
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Telephone | 615-884-0282
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Fax | 615-884-0292
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Provider Business Mailing Address
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Address Line | 508 CASTLEBURY CT
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City | FRANKLIN
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State | TN
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Zip | 37064-5425
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Country | US
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Telephone | 615-423-6382
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Fax | 615-591-4286
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2006005513
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License Number State | MO
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