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General NPI Number Information
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NPI Number | 1386778553
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Entity Type | Organization
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Legal Business Name | MICHAEL HORWITZ, DDS,INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 1601 EASTMAN AVE #105
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City | VENTURA
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State | CA
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Zip | 93003-6481
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Country | US
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Telephone | 805-850-0228
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Fax | 805-653-1157
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Provider Business Mailing Address
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Address Line | 1601 EASTMAN AVE #105
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City | VENTURA
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State | CA
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Zip | 93003-6481
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Country | US
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Telephone | 805-850-0228
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL HORWITZ HORWITZ
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Credential | DDS
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Telephone | 805-850-0228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22617
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License Number State | CA
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