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General NPI Number Information
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NPI Number | 1013384007
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Entity Type | Individual
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Provider Name | TARA HORTON DPT
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 14 AYERS LN
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1201
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Country | US
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Telephone | 732-530-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 621 PARK AVE
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City | BRIELLE
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State | NJ
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Zip | 08730-1809
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Country | US
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Telephone | 732-547-0623
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA01856000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 034001
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License Number State | NY
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