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General NPI Number Information
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NPI Number | 1538356852
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Entity Type | Organization
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Legal Business Name | HORIZON ASSOCIATES LLC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 16453 HIGHWAY 62 S
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City | ORANGE
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State | TX
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Zip | 77630-1986
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Country | US
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Telephone | 409-882-9304
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Fax | 409-670-1039
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Provider Business Mailing Address
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Address Line | 16453 HIGHWAY 62 S
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City | ORANGE
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State | TX
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Zip | 77630-1986
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Country | US
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Telephone | 409-882-9304
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Fax | 409-670-1039
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JOHN TSUKURU FUKUDA
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Credential | DDS
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Telephone | 409-882-9304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16264
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License Number State | TX
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