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General NPI Number Information
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NPI Number | 1740749217
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Entity Type | Organization
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Legal Business Name | HORIZON SAFETY LLC
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 106 CIRCLE WAY ST
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5266
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Country | US
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Telephone | 713-554-0419
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Fax | 713-554-0074
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Provider Business Mailing Address
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Address Line | 3222 BURKE RD STE 108
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City | PASADENA
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State | TX
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Zip | 77504-1871
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Country | US
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Telephone | 866-998-0411
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Fax | 866-998-8573
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. LORY A GUAJARDO
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Credential |
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Telephone | 866-998-0411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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