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General NPI Number Information
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NPI Number | 1679567531
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Entity Type | Individual
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Provider Name | JOHN FX HORAN DO
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Gender | Male
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 501 CENTERVILLE RD
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City | WARWICK
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State | RI
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Zip | 02886-4347
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Country | US
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Telephone | 401-606-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 1592 BROAD ST
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City | CRANSTON
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State | RI
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Zip | 02905-4130
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Country | US
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Telephone | 401-467-3350
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO00320
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License Number State | RI
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