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General NPI Number Information
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NPI Number | 1033581293
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Entity Type | Organization
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Legal Business Name | L SCOTT HORNE DMD PL
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 42 BUSINESS CENTRE DR
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-6920
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Country | US
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Telephone | 850-269-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 42 BUSINESS CENTRE DR
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-6920
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Country | US
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Telephone | 850-269-7550
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. LAWERENCE SCOTT HORNE
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Credential | DMD
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Telephone | 210-667-6113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN16746
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License Number State | FL
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