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General NPI Number Information
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NPI Number | 1871665547
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Entity Type | Organization
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Legal Business Name | HORIZON PROSTHETICS, LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 1110 ELKTON DR STE E
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-3555
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Country | US
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Telephone | 719-266-0949
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Fax | 719-266-0941
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Provider Business Mailing Address
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Address Line | 200 S WILCOX ST # 245
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1913
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Country | US
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Telephone | 719-266-0949
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Fax | 719-266-0941
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Authorized Official
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Title or Position | CFO
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Name | MRS. TAMMY J MCKENNA
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Credential |
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Telephone | 303-660-1238
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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 | 20156000418
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License Number State | CO
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