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NPI 1528105939

NPI 1528105939 : LINDA MARY HORIZNY PT : ELIZABETHTOWN, NY

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General NPI Number Information
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    NPI Number           |    1528105939
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA MARY HORIZNY PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/01/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    66 PARK ST 
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    City                 |    ELIZABETHTOWN
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    State                |    NY
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    Zip                  |    12932
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    Country              |    US
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    Telephone            |    518-873-2408
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2090 ENSIGN POND RD 
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    City                 |    MORIAH CENTER
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    State                |    NY
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    Zip                  |    12961-1708
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    Country              |    US
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    Telephone            |    518-546-7365
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    016374-1
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    License Number State |    NY
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