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General NPI Number Information
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NPI Number | 1194890996
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Entity Type | Organization
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Legal Business Name | HORIZONS GENERAL PARTNERSHIP
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 4904 ELIZABETH ST
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City | TEXARKANA
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State | TX
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Zip | 75503-2912
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Country | US
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Telephone | 903-794-0509
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Fax | 903-793-6460
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Provider Business Mailing Address
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Address Line | 4904 ELIZABETH ST
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City | TEXARKANA
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State | TX
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Zip | 75503-2912
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Country | US
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Telephone | 903-794-0509
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Fax | 903-793-6460
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Authorized Official
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Title or Position | OWNER
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Name | MR. DONALD R MOORE
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Credential |
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Telephone | 903-794-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 752404333
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License Number State | TX
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