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General NPI Number Information
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NPI Number | 1366644338
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Entity Type | Individual
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Provider Name | DAVID HARRY HORTON PT
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4510 VIEWRIDGE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92123-1637
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Country | US
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Telephone | 858-694-4930
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Fax |
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Provider Business Mailing Address
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Address Line | 16684 CIMARRON CREST DR
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City | SAN DIEGO
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State | CA
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Zip | 92127-3448
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Country | US
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Telephone | 858-312-1063
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 20887
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License Number State | CA
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