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General NPI Number Information
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NPI Number | 1235703596
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Entity Type | Organization
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Legal Business Name | HORIZON RECOVERY
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 113 HODE RD
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City | WARFIELD
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State | KY
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Zip | 41267
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Country | US
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Telephone | 606-390-2262
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Fax |
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Provider Business Mailing Address
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Address Line | 113 HODE ROAD
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City | WARFIELD
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State | KY
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Zip | 41267-7522
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Country | US
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Telephone | 606-390-2262
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | KELLIE SHEEHY
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Credential | APRN
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Telephone | 606-390-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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