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General NPI Number Information
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NPI Number | 1063660082
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Entity Type | Organization
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Legal Business Name | HORTON HEARS LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 2933 W ROCK RIVER RIDGE RD
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-5026
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Country | US
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Telephone | 765-366-8568
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Fax |
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Provider Business Mailing Address
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Address Line | 2933 W ROCK RIVER RIDGE RD
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-5026
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Country | US
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Telephone | 765-366-8568
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT/SLP
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Name | MRS. NAOMI SABRIAN HORTON
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Credential | MS, CCC-SLP
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Telephone | 765-366-8568
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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 | 22003934A
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License Number State | IN
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