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General NPI Number Information
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NPI Number | 1649251570
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Entity Type | Individual
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Provider Name | JEFFREY ALLAN HOROWTIZ DDS MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2257 W END AVE
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City | POTTSVILLE
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State | PA
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Zip | 17901-1825
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Country | US
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Telephone | 570-622-9746
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Fax | 570-622-3723
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Provider Business Mailing Address
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Address Line | 2257 W END AVE
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City | POTTSVILLE
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State | PA
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Zip | 17901-1825
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Country | US
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Telephone | 570-622-9746
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Fax | 570-622-3723
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS031220L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS031220-L
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License Number State | PA
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