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General NPI Number Information
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NPI Number | 1457425688
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Entity Type | Organization
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Legal Business Name | RICHARD J HORBAL MD PC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 414 N TUSCOLA RD
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City | BAY CITY
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State | MI
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Zip | 48708-6962
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Country | US
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Telephone | 989-895-5007
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Fax | 989-895-8032
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Provider Business Mailing Address
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Address Line | 414 N TUSCOLA RD
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City | BAY CITY
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State | MI
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Zip | 48708-6962
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Country | US
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Telephone | 989-895-5007
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Fax | 989-895-8032
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD J HORBAL
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Credential | M.D.
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Telephone | 989-895-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 4301039488
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License Number State | MI
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