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General NPI Number Information
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NPI Number | 1245332378
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Entity Type | Organization
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Legal Business Name | HORIZON FAMILY MEDICINE, PA
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 410 CANTERBURY RD
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City | SMITHFIELD
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State | NC
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Zip | 27577-4861
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Country | US
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Telephone | 919-934-5149
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Fax | 919-934-5632
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Provider Business Mailing Address
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Address Line | 410 CANTERBURY RD
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City | SMITHFIELD
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State | NC
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Zip | 27577-4861
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Country | US
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Telephone | 919-934-5149
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Fax | 919-934-5632
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. JOSEPH T LIVERMAN JR.
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Credential | M.D.
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Telephone | 919-934-5149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 39285
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License Number State | NC
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