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General NPI Number Information
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NPI Number | 1992234793
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Entity Type | Organization
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Legal Business Name | A NEW HORIZAN LLC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 620 E PLUMB LN STE 213
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City | RENO
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State | NV
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Zip | 89502-3536
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Country | US
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Telephone | 775-449-5969
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Fax | 775-449-5968
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Provider Business Mailing Address
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Address Line | 620 E PLUMB LN STE 213
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City | RENO
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State | NV
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Zip | 89502-3536
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Country | US
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Telephone | 775-449-5969
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Fax | 775-449-5968
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Authorized Official
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Title or Position | CEO
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Name | MICHELLE JOHNSON
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Credential |
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Telephone | 916-241-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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