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General NPI Number Information
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NPI Number | 1669413878
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Entity Type | Individual
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Provider Name | MARK KEVIN HOROWITZ DO
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 23550 HAWTHORNE BLVD STE 200
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City | TORRANCE
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State | CA
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Zip | 90505-4722
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Country | US
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Telephone | 310-373-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 23550 HAWTHORNE BLVD. #200
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City | TORRANCE
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State | CA
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Zip | 90505-4722
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Country | US
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Telephone | 310-534-9131
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Fax | 310-534-9132
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 20A7642
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 20A7642
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 20A7642
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207NI0002X
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Taxonomy Name | Clinical & Laboratory Dermatological Immunology Physician
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License Number | 20A7642
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 20A7642
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 20A7642
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License Number State | CA
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