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General NPI Number Information
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NPI Number | 1679798219
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Entity Type | Organization
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Legal Business Name | HORIZONS BEHAVORIAL HEALTH SOLUTIONS,INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 6123 GREEN BAY RD STE 230
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City | KENOSHA
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State | WI
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Zip | 53142-2927
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Country | US
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Telephone | 262-948-1000
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Fax | 262-942-9374
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Provider Business Mailing Address
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Address Line | PO BOX 7814
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City | GURNEE
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State | IL
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Zip | 60031-7005
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Country | US
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Telephone | 262-948-1000
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Fax | 262-943-9374
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KALPANA RAO
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Credential | PHD
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Telephone | 262-948-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | WI
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