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General NPI Number Information
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NPI Number | 1043347529
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Entity Type | Individual
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Provider Name | RICHARD C HORN D.MIN.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 306 S MAIN ST
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City | KERNERSVILLE
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State | NC
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Zip | 27284-2762
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Country | US
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Telephone | 336-992-1793
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Fax | 336-993-6033
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Provider Business Mailing Address
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Address Line | PO BOX 571097
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City | WINSTON-SALEM
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State | NC
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Zip | 27157-1097
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Country | US
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Telephone | 336-716-0800
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Fax | 336-716-0822
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 762
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License Number State | NC
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