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General NPI Number Information
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NPI Number | 1194992206
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Entity Type | Organization
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Legal Business Name | LARRY W HORTON MD PA
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 1245 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3719
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Country | US
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Telephone | 727-934-7415
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Fax | 727-934-7433
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Provider Business Mailing Address
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Address Line | 1245 SOUTH PINELLAS AVE.
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City | TARPON SPRINGS
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State | FL
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Zip | 34689
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Country | US
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Telephone | 727-934-7415
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Fax | 727-934-7433
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. CYNTHIA ELIZABETH HORTON
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Credential |
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Telephone | 727-934-7415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME0061926
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License Number State | FL
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