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General NPI Number Information
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NPI Number | 1235316274
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Entity Type | Organization
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Legal Business Name | BENION S. HORTON, MD, PC
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1405 WILLOW LANE
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659
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Country | US
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Telephone | 336-667-2232
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Fax | 336-667-2235
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Provider Business Mailing Address
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Address Line | PO BOX 758
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-0758
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Country | US
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Telephone | 336-667-2232
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Fax | 336-667-2235
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Authorized Official
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Title or Position | OWNER
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Name | BENION S HORTON
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Credential | MD
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Telephone | 336-667-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200500203
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License Number State | NC
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