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General NPI Number Information
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NPI Number | 1285429605
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Entity Type | Organization
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Legal Business Name | ONE HORIZON
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 910 S PEARL EXPY
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City | DALLAS
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State | TX
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Zip | 75201-6046
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Country | US
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Telephone | 202-422-5465
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Fax | 202-422-5465
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Provider Business Mailing Address
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Address Line | 3468 AMBERTON CT
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3210
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Country | US
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Telephone | 202-422-5465
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MARLON JOVON STUCKEY
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Credential |
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Telephone | 202-422-5465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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