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General NPI Number Information
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NPI Number | 1972907467
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Entity Type | Individual
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Provider Name | CRYSTAL HORKANS L. AC.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 4610 SAWMILL RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2247
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Country | US
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Telephone | 614-538-0983
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Fax | 614-538-0989
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Provider Business Mailing Address
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Address Line | 4062 LEAP RD APT C
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City | HILLIARD
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State | OH
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Zip | 43026-1139
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Country | US
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Telephone | 614-551-4781
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 65.000279
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License Number State | OH
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