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General NPI Number Information
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NPI Number | 1043958333
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Entity Type | Individual
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Provider Name | MRS. KATHRYN DENISE HORTON
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Gender | Female
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 5100 STONE LAKE DR
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City | WICHITA FALLS
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State | TX
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Zip | 76310-8017
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Country | US
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Telephone | 940-689-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 11501 MARION RD APT 9207
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City | SANGER
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State | TX
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Zip | 76266-3268
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Country | US
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Telephone | 940-636-9126
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | PENDING
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License Number State | TX
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