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General NPI Number Information
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NPI Number | 1013061902
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Entity Type | Individual
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Provider Name | RONALD DEE HORNE DDS
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4306 MEDICAL PKWY SUITE 2
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City | AUSTIN
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State | TX
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Zip | 78756-3312
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Country | US
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Telephone | 512-454-6744
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Fax | 512-419-0133
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Provider Business Mailing Address
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Address Line | 1303 SILVER HILL DR
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City | AUSTIN
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State | TX
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Zip | 78746-7424
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Country | US
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Telephone | 512-306-0773
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | D12740
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License Number State | TX
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