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General NPI Number Information
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NPI Number | 1780905844
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Entity Type | Organization
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Legal Business Name | HORIZON WELLNESS ENTERPRISES
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 217 JAMESTOWN PARK SUITE 2
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City | BRENTWOOD
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State | TN
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Zip | 37027-1500
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Country | US
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Telephone | 931-237-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 217 JAMESTOWN PARK SUITE 2
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City | BRENTWOOD
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State | TN
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Zip | 37027-1500
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Country | US
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Telephone | 931-237-0418
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DAWN M MULLINS
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Credential | RN
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Telephone | 931-237-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | I000000006487
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License Number State | TN
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