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General NPI Number Information
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NPI Number | 1871813170
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Entity Type | Organization
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Legal Business Name | STANLEY A HORST MD PC
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 105 S BRYANT AVE SUITE 100
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City | EDMOND
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State | OK
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Zip | 73034-6399
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Country | US
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Telephone | 405-359-0909
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Fax | 405-348-5936
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Provider Business Mailing Address
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Address Line | 105 S BRYANT AVE SUITE 100
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City | EDMOND
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State | OK
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Zip | 73034-6399
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Country | US
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Telephone | 405-359-0909
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Fax | 405-348-5936
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STANLEY A HORST
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Credential | M.D.
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Telephone | 405-359-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12795
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License Number State | OK
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