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General NPI Number Information
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NPI Number | 1669585089
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Entity Type | Individual
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Provider Name | HOWARD P HORLICK MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 169 FROEHLICH FARM BLVD
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City | WOODBURY
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State | NY
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Zip | 11797
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Country | US
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Telephone | 516-921-2294
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Fax | 516-921-1206
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Provider Business Mailing Address
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Address Line | 169 FROEHLICH FARM BLVD
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City | WOODBURY
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State | NY
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Zip | 11797
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Country | US
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Telephone | 516-921-2294
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Fax | 516-921-1206
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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 | 16311
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License Number State | NY
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