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General NPI Number Information
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NPI Number | 1962377705
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Entity Type | Organization
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Legal Business Name | HORIZONS HEALTHCARE HOSPICE LLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 11351 RANDOM HILLS RD # 220
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City | FAIRFAX
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State | VA
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Zip | 22030-6081
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Country | US
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Telephone | 703-537-0107
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Fax |
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Provider Business Mailing Address
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Address Line | 5511 LAVATERA CT
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City | CENTREVILLE
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State | VA
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Zip | 20120-2705
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Country | US
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Telephone | 646-338-8056
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DENNIS CORTEZ
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Credential | PT
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Telephone | 646-338-8056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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