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General NPI Number Information
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NPI Number | 1215928650
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Entity Type | Individual
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Provider Name | DENNIS JAMES HORAN PA
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Gender | Male
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 200 BANNING ST ST 210
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City | DOVER
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State | DE
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Zip | 19904-3485
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Country | US
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Telephone | 302-744-9645
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Fax |
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Provider Business Mailing Address
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Address Line | 273 BLUE SPRUCE DR
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City | MAGNOLIA
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State | DE
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Zip | 19962-1360
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Country | US
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Telephone | 320-335-4753
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C50000255
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License Number State | DE
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