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General NPI Number Information
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NPI Number | 1609912476
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Entity Type | Organization
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Legal Business Name | HORIZON REHABILITATION CENTER,INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2911 CAMERON ST
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City | MONROE
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State | LA
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Zip | 71201-3713
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Country | US
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Telephone | 318-651-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 2911 CAMERON ST
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City | MONROE
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State | LA
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Zip | 71201-3713
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Country | US
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Telephone | 318-651-9363
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KERRY JEFFERSON SCOTT
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Credential | LAC
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Telephone | 318-410-1062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | LA
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