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General NPI Number Information
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NPI Number | 1497518880
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Entity Type | Organization
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Legal Business Name | HORIZON CENTERS OF SAN DIEGO, LLC
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 3423 CHANNEL WAY
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City | SAN DIEGO
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State | CA
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Zip | 92110-5104
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Country | US
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Telephone | 323-676-1000
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Fax | 323-676-2000
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Provider Business Mailing Address
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Address Line | 4221 WILSHIRE BLVD STE 392
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City | LOS ANGELES
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State | CA
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Zip | 90010-3537
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Country | US
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Telephone | 323-475-1800
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Fax | 323-475-1826
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Authorized Official
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Title or Position | MANAGER
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Name | STEVEN ATLAS
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Credential |
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Telephone | 323-676-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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