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General NPI Number Information
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NPI Number | 1225065451
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Entity Type | Individual
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Provider Name | JOSEPH A HORTON MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 1214 COOLIDGE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2621
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Country | US
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Telephone | 337-289-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 BANEBERRY DR
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City | HOOVER
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State | AL
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Zip | 35244-6402
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Country | US
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Telephone | 205-444-9648
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22727
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License Number State | AL
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