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General NPI Number Information
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NPI Number | 1033771092
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Entity Type | Individual
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Provider Name | ELIZABETH HORNEBER
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Gender | Female
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Dates
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Enumeration Date | 06/30/2019
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-698-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200759
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City | PITTSBURGH
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State | PA
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Zip | 15251-1075
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101286219
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8474
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License Number State | NE
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