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General NPI Number Information
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NPI Number | 1205659117
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Entity Type | Individual
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Provider Name | DR. JOSHUA MITCHELL HORLICK
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Gender | Male
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 101 W WASHINGTON ST
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City | NASHVILLE
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State | NC
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Zip | 27856-1353
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Country | US
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Telephone | 252-459-3540
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Fax |
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Provider Business Mailing Address
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Address Line | 35 BRAMBLEWOOD DR
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-9215
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Country | US
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Telephone | 919-434-1882
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33490
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License Number State | NC
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