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NPI 1558159657

NPI 1558159657 : HORIZON CENTERS OF SAN JOSE : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1558159657
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    Entity Type          |    Organization 
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    Legal Business Name  |    HORIZON CENTERS OF SAN JOSE 
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Dates
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    Enumeration Date     |    04/28/2025
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    1275 N 4TH ST 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95112-4705
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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            |    323-676-1000
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    Fax                  |    323-676-2000
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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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