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NPI 1063375053

NPI 1063375053 : MELISSA MAE HORN : ADAMS, KY

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General NPI Number Information
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    NPI Number           |    1063375053
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA MAE HORN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2025
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    120 CLAY LANE 
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    City                 |    ADAMS
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    State                |    KY
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    Zip                  |    41201
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    Country              |    US
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    Telephone            |    931-434-6275
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    120 CLAY LANE 
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    City                 |    ADAMS
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    State                |    KY
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    Zip                  |    41201
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    Country              |    US
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    Telephone            |    931-434-6275
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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