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General NPI Number Information
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NPI Number | 1285656637
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Entity Type | Individual
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Provider Name | KENNETH HOROWITZ DC
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 830 PLEASANT HILL RD NW
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City | LILBURN
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State | GA
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Zip | 30047-2742
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Country | US
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Telephone | 770-925-9955
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Fax | 770-923-0200
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Provider Business Mailing Address
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Address Line | 830 PLEASANT HILL RD NW
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City | LILBURN
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State | GA
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Zip | 30047-2742
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Country | US
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Telephone | 770-925-9955
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Fax | 770-923-0200
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2038
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2444
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4151
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License Number State | FL
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