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General NPI Number Information
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NPI Number | 1477997799
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Entity Type | Organization
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Legal Business Name | NEVENKA HORVAT MD, INC
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 3333 CLARK RD SUITE 160
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City | SARASOTA
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State | FL
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Zip | 34231-8432
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Country | US
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Telephone | 941-923-1809
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Fax | 941-927-9645
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Provider Business Mailing Address
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Address Line | 3333 CLARK RD SUITE 160
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City | SARASOTA
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State | FL
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Zip | 34231-8432
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Country | US
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Telephone | 941-923-1809
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Fax | 941-927-9645
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ASHLEE KOMOR
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Credential |
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Telephone | 941-923-1809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | ARNP9221877
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | ME0039577
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License Number State | FL
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