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NPI 1659039840

NPI 1659039840 : HORSES & HEROES INC. : SHAWNEE, KS

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General NPI Number Information
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    NPI Number           |    1659039840
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    Entity Type          |    Organization 
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    Legal Business Name  |    HORSES & HEROES INC. 
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Dates
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    Enumeration Date     |    12/04/2021
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    Last Update Date     |    12/04/2021
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Provider Practice Location Address
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    Address Line         |    6715 MIZE RD 
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    City                 |    SHAWNEE
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    State                |    KS
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    Zip                  |    66226-3363
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    Country              |    US
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    Telephone            |    913-210-5678
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22052 W 66TH ST # 207 
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    City                 |    SHAWNEE
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    State                |    KS
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    Zip                  |    66226-3500
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    Country              |    US
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    Telephone            |    913-210-5678
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER, EXECUTIVE DIRECTOR
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    Name                 |    MRS. JULIE L BAKER 
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    Credential           |    
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    Telephone            |    913-210-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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 |    
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