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General NPI Number Information
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NPI Number | 1437260155
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Entity Type | Organization
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Legal Business Name | WILLIAM B HORN DDS PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 155 E MAIN ST
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City | PORT JERVIS
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State | NY
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Zip | 12771
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Country | US
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Telephone | 845-856-5049
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Fax | 845-856-3000
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Provider Business Mailing Address
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Address Line | 155 E MAIN ST
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City | PORT JERVIS
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State | NY
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Zip | 12771
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Country | US
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Telephone | 845-856-5049
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Fax | 845-856-3000
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SETH HORN
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Credential |
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Telephone | 845-856-5049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 047008
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License Number State | NY
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