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General NPI Number Information
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NPI Number | 1306929153
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Entity Type | Organization
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Legal Business Name | HORIZON HOME HEALTH LC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 906 N NAVAJO DR
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City | PAGE
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State | AZ
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Zip | 86040-0975
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Country | US
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Telephone | 928-645-9110
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Fax | 928-645-9410
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Provider Business Mailing Address
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Address Line | 11 E 200 N
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City | OREM
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State | UT
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Zip | 84057-4737
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Country | US
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Telephone | 801-225-7171
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Fax |
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | SCOTT BENSON WOOLLEY
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Credential | MBA
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Telephone | 801-225-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA3429
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License Number State | AZ
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