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General NPI Number Information
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NPI Number | 1336895994
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Entity Type | Organization
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Legal Business Name | HORIZONS THERAPY PLLC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 14 7TH AVE N STE 131
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City | SAINT CLOUD
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State | MN
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Zip | 56303-4753
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Country | US
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Telephone | 320-460-1664
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Fax |
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Provider Business Mailing Address
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Address Line | 3063 12TH AVE N
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City | SARTELL
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State | MN
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Zip | 56377-4833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / THERAPIST
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Name | JOEL BERSHOK
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Credential | MSW, LICSW
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Telephone | 320-460-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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