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General NPI Number Information
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NPI Number | 1861618118
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Entity Type | Organization
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Legal Business Name | HORIZON REHAB AND CONSULTING PLLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5950 E 31ST ST
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City | TULSA
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State | OK
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Zip | 74135-5114
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Country | US
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Telephone | 918-851-5072
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Fax | 918-619-6077
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Provider Business Mailing Address
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Address Line | 2318 S 109TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74129-5030
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Country | US
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Telephone | 918-851-5072
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Fax | 918-619-6077
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Authorized Official
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Title or Position | OWNER, DIRECTOR OF OPERATIONS
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Name | MRS. GAMAL H. LUCIUS
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Credential | RPT
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Telephone | 918-851-5072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1939
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License Number State | OK
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