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General NPI Number Information
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NPI Number | 1427125368
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Entity Type | Organization
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Legal Business Name | HORIZON HEALTH SERVICES
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 44 RAINTREE IS APT 12
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City | TONAWANDA
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State | NY
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Zip | 14150-2781
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Country | US
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Telephone | 716-888-0697
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Fax |
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Provider Business Mailing Address
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Address Line | 44 RAINTREE IS, APT#12
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City | TONAWANDA
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State | NY
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Zip | 14150
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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 | FORENSIC CASE MANAGEMENT
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Name | PIERRE BOLDEN
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Credential |
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Telephone | 716-888-0697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 171M00000X
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License Number State | NY
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