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General NPI Number Information
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NPI Number | 1992287932
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Entity Type | Individual
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Provider Name | NICHOLAS HORVATH PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 24 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810
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Country | US
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Telephone | 203-739-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 102G LANSDALE AVE
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City | MILFORD
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State | CT
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Zip | 06460-5153
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Country | US
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Telephone | 203-610-5224
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4330
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4330
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License Number State | CT
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