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General NPI Number Information
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NPI Number | 1215235346
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Entity Type | Organization
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Legal Business Name | PRIME HORZON CORPORATION
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 144 6TH NORTH STREET
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City | NASHVILLE
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State | TN
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Zip | 37206
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Country | US
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Telephone | 901-859-9032
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Fax |
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Provider Business Mailing Address
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Address Line | 144 N 6TH ST
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City | NASHVILLE
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State | TN
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Zip | 37206-4002
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Country | US
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Telephone | 901-859-9032
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. IBRAHIM AWGAB OSMAN
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Credential |
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Telephone | 901-859-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 253Z00000X
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License Number State | TN
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