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General NPI Number Information
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NPI Number | 1225239148
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Entity Type | Individual
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Provider Name | MICHAEL NEIL HORNER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 660 GOLDEN RIDGE RD STE. 250
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City | GOLDEN
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State | CO
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Zip | 80401-9541
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Country | US
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Telephone | 303-233-1223
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Fax | 303-233-8755
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Provider Business Mailing Address
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Address Line | 660 GOLDEN RIDGE RD STE. 250
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City | GOLDEN
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State | CO
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Zip | 80401-9541
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Country | US
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Telephone | 303-233-1223
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Fax | 303-233-8755
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 5101017183
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 52882
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License Number State | CO
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