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General NPI Number Information
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NPI Number | 1578736658
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Entity Type | Organization
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Legal Business Name | HORVATH MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 9930 JOHNNYCAKE RIDGE RD UNIT 1C
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City | MENTOR
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State | OH
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Zip | 44060-6752
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Country | US
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Telephone | 440-357-2371
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Fax | 440-357-2381
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Provider Business Mailing Address
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Address Line | 7910 BATTLES RD
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City | GATES MILLS
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State | OH
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Zip | 44040-9354
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Country | US
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Telephone | 440-423-1921
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Fax | 440-423-1522
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Authorized Official
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Title or Position | LICENSED PROSTHETIST/OWNER
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Name | MR. FERENCZ F HORVATH
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Credential | L.P.
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Telephone | 440-357-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | LP0051
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License Number State | OH
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