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General NPI Number Information
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NPI Number | 1861391047
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS O & P MARION LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 4505 W DEYOUNG ST STE 101
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City | MARION
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State | IL
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Zip | 62959-5899
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Country | US
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Telephone | 618-217-1634
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Fax | 618-481-0102
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Provider Business Mailing Address
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Address Line | 4505 W DEYOUNG ST STE 101
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City | MARION
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State | IL
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Zip | 62959-5899
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Country | US
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Telephone | 618-217-1634
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Fax | 618-481-0102
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SANDI OLSON
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Credential |
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Telephone | 308-698-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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