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NPI 1114473816

NPI 1114473816 : NADIA DOTRICE HORTON FNP : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1114473816
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    Entity Type          |    Individual 
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    Provider Name        |    NADIA DOTRICE HORTON FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/01/2016
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    Last Update Date     |    05/06/2025
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Provider Practice Location Address
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    Address Line         |    166 VALLEY ST BLDG 6M 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02909-2400
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    Country              |    US
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    Telephone            |    401-682-7382
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    Fax                  |    401-210-3750
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Provider Business Mailing Address
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    Address Line         |    735 THIMBLE SHOALS BLVD STE 130 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4428
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    Country              |    US
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    Telephone            |    757-333-0175
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN01563
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    0024173726
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    0024173726
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    License Number State |    VA
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