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General NPI Number Information
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NPI Number | 1538483441
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Entity Type | Organization
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Legal Business Name | HORIZON PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 15905 BROOKWAY DR. STE 4101
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3240
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Country | US
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Telephone | 704-960-2632
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Fax |
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Provider Business Mailing Address
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Address Line | 7611 GARNKIRK DR
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-0614
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANISHA CAVENDISH
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Credential | PH.D.
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Telephone | 704-960-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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