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General NPI Number Information
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NPI Number | 1538392477
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Entity Type | Organization
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Legal Business Name | HORIZON HOUSE DELAWARE INC
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 3120 NAAMANS RD
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City | WILMINGTON
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State | DE
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Zip | 19810-2139
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Country | US
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Telephone | 302-477-1979
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Fax | 302-477-1179
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Provider Business Mailing Address
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Address Line | 120 S 30TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3403
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Country | US
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Telephone | 215-386-3838
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Fax | 215-438-4872
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JEFFREY J.W. WILUSH
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Credential |
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Telephone | 215-386-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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