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General NPI Number Information
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NPI Number | 1366513335
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Entity Type | Organization
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Legal Business Name | JOHN H HORNBAKER JR MD PA
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD S223
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6700
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Country | US
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Telephone | 301-797-7123
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Fax | 301-791-1352
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Provider Business Mailing Address
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Address Line | 11110 MEDICAL CAMPUS RD S223
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6700
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Country | US
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Telephone | 301-797-7123
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Fax | 301-791-1352
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN H HORNBAKER JR.
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Credential | MD
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Telephone | 301-797-7125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0007885
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License Number State | MD
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