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General NPI Number Information
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NPI Number | 1225208077
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Entity Type | Organization
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Legal Business Name | GENE HORI, M.D. INCORPORATED
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 4251 S HIGUERA ST SUITE 402
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7700
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Country | US
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Telephone | 805-541-1492
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Fax | 805-541-1499
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Provider Business Mailing Address
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Address Line | 4251 S HIGUERA ST SUITE 402
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7700
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Country | US
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Telephone | 805-541-1492
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Fax | 805-541-1499
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Authorized Official
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Title or Position | CEO
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Name | DR. GENE HORI
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Credential | M.D.
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Telephone | 805-541-1492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G64261
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License Number State | CA
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