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General NPI Number Information
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NPI Number | 1487282422
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Entity Type | Individual
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Provider Name | JACOB BRYAN HORTON MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 15 DELNO DR
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City | DANBURY
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State | CT
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Zip | 06811-3423
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Country | US
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Telephone | 203-244-7740
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Fax | 207-610-7889
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Provider Business Mailing Address
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Address Line | 15 DELNO DR
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City | DANBURY
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State | CT
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Zip | 06811-3423
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Country | US
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Telephone | 203-244-7740
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Fax | 207-610-7889
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 77357
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MA
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