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General NPI Number Information
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NPI Number | 1477951507
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Entity Type | Individual
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Provider Name | JOHN PAUL HORSCH PA-C MPAS
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Gender | Male
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR UNIT MEDDAC
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City | FORT CARSON
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State | CO
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Zip | 80913-4604
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Country | US
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Telephone | 210-315-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 18511 HIGHLANDER MEDICS ST
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City | FORT BLISS
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State | TX
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Zip | 79906-5327
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 13-108954-092
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License Number State | KS
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