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General NPI Number Information
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NPI Number | 1689805426
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Entity Type | Organization
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Legal Business Name | HORIZON HEALTHCARE, INC
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 285 N JANACEK RD
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City | BROOKFIELD
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State | WI
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Zip | 53045-6102
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Country | US
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Telephone | 262-641-9050
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Fax | 262-641-9126
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Provider Business Mailing Address
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Address Line | 285 N JANACEK RD
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City | BROOKFIELD
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State | WI
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Zip | 53045-6102
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Country | US
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Telephone | 262-641-9050
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Fax | 262-641-9126
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DARREN MATAVKA
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Credential |
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Telephone | 262-641-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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