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General NPI Number Information
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NPI Number | 1629376629
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Entity Type | Organization
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Legal Business Name | HORIZON HOUSE DELAWARE INC
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 261 CHAPMAN RD SUITE 100-102
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City | NEWARK
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State | DE
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Zip | 19702-5423
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Country | US
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Telephone | 302-266-3246
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Fax | 302-266-7990
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Provider Business Mailing Address
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Address Line | 261 CHAPMAN RD SUITE 100-102
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City | NEWARK
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State | DE
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Zip | 19702-5423
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Country | US
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Telephone | 302-266-3246
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Fax | 302-266-7990
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JEFFREY WJ WILUSH
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Credential |
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Telephone | 215-386-3838
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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 | 609001
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License Number State | DE
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