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General NPI Number Information
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NPI Number | 1609233345
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Entity Type | Organization
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Legal Business Name | ANDREW HORNE, DDS, PLLC
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 8540 SCARBOROUGH DR STE 250
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7502
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Country | US
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Telephone | 734-274-9226
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Fax |
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Provider Business Mailing Address
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Address Line | 8540 SCARBOROUGH DR SUITE #250
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7502
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Country | US
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Telephone | 719-487-9303
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW HORNE
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Credential |
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Telephone | 734-274-9226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DEN.00202691
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License Number State | CO
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