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General NPI Number Information
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NPI Number | 1942217641
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Entity Type | Individual
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Provider Name | SCOTT LEE HORA O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 430 ARLINGTON RD SUITE B
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City | BROOKVILLE
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State | OH
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Zip | 45309-1103
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Country | US
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Telephone | 937-770-1265
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Fax | 937-770-1268
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Provider Business Mailing Address
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Address Line | 8300 NATIONAL RD
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City | BROOKVILLE
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State | OH
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Zip | 45309-8636
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Country | US
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Telephone | 937-833-5944
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5395
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License Number State | OH
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