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General NPI Number Information
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NPI Number | 1487365029
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Entity Type | Organization
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Legal Business Name | HORIZON SERVICES INC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 574 PRAIRIE CENTER DR # 135-292
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-7930
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Country | US
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Telephone | 951-434-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 574 PRAIRIE CENTER DR # 135-292
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-7930
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Country | US
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Telephone | 951-434-3090
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSICA BROVITCH
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Credential |
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Telephone | 951-434-3090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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