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General NPI Number Information
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NPI Number | 1700543683
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Entity Type | Organization
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Legal Business Name | HORIZON MEDICAL HEALTH GROUP INC
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 04/02/2023
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Provider Practice Location Address
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Address Line | CARRETERA 706 KM. 7.1
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-9933
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1246
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City | GUAYAMA
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State | PR
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Zip | 00785-1246
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Country | US
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Telephone | 787-824-9933
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR OFICIAL
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Name | JOSE THOMAS VEGA
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Credential |
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Telephone | 939-588-9337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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