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General NPI Number Information
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NPI Number | 1053411470
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Entity Type | Individual
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Provider Name | BILL ROBERT HORN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1767 SUMMER ST
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City | STAMFORD
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State | CT
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Zip | 06905-5115
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Country | US
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Telephone | 203-327-5021
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Fax | 203-861-2294
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Provider Business Mailing Address
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Address Line | 29 SACHEM RD
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City | GREENWICH
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State | CT
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Zip | 06830-7230
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Country | US
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Telephone | 203-327-5021
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Fax | 203-861-2294
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1111
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License Number State | CT
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