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General NPI Number Information
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NPI Number | 1639398340
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Entity Type | Organization
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Legal Business Name | HORVATH CHIROPRACTIC PC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 112 N WINSTEAD AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2235
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Country | US
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Telephone | 252-443-7496
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Fax | 252-443-9062
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Provider Business Mailing Address
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Address Line | 112 VINEYARD CT
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-3104
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Country | US
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Telephone | 252-977-8977
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MATTHEW BRIAN HORVATH
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Credential | D.C.
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Telephone | 252-443-7496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1182
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 006532
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1935
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License Number State | NC
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