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General NPI Number Information
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NPI Number | 1740434141
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Entity Type | Organization
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Legal Business Name | HORIZON COMMUNITY & FAMILY SERVICES
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 707 S AVON ST SUITE A
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City | GASTONIA
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State | NC
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Zip | 28054-0475
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Country | US
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Telephone | 704-865-8533
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Fax | 704-865-8535
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Provider Business Mailing Address
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Address Line | 707 S AVON ST SUITE A
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City | GASTONIA
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State | NC
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Zip | 28054-0475
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Country | US
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Telephone | 704-865-8533
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Fax | 704-865-8535
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEXTER LAMONT JONES
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Credential |
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Telephone | 704-865-8533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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