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General NPI Number Information
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NPI Number | 1043642879
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Entity Type | Individual
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Provider Name | ROBERT LEE HORNE DDS
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Gender | Male
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 08/02/2013
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Provider Practice Location Address
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Address Line | 19625 GILMAN SPRINGS RD
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City | SAN JACINTO
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State | CA
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Zip | 92583-2100
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Country | US
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Telephone | 951-654-5347
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Fax | 951-487-7221
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Provider Business Mailing Address
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Address Line | 6331 HOLLYWOOD BLVD SUITE 1305
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City | LOS ANGELES
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State | CA
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Zip | 90028-6321
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Country | US
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Telephone | 323-960-3569
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Fax | 951-487-7221
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 37336
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License Number State | CA
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