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General NPI Number Information
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NPI Number | 1972192318
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Entity Type | Organization
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Legal Business Name | HORNER & COMPANY
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 3757 CLEVELAND AVE NW STE 200
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City | CANTON
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State | OH
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Zip | 44709-2375
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Country | US
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Telephone | 234-214-8668
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Fax | 234-214-8364
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Provider Business Mailing Address
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Address Line | 3757 CLEVELAND AVE NW STE 200
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City | CANTON
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State | OH
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Zip | 44709-2375
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Country | US
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Telephone | 234-214-8668
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Fax | 234-214-8364
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DOMINGA HORNER
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Credential |
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Telephone | 234-214-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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