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General NPI Number Information
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NPI Number | 1134219827
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Entity Type | Individual
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Provider Name | MELANIE L HORN PHD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 317 RANCH RD 620 SO STE 302A
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City | AUSTIN
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State | TX
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Zip | 78734
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Country | US
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Telephone | 512-261-6005
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Fax | 512-261-5332
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Provider Business Mailing Address
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Address Line | 115 COPPERLEAF RD
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City | AUSTIN
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State | TX
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Zip | 78734
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Country | US
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Telephone | 512-261-6005
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Fax | 512-261-5332
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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 | 25339
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License Number State | TX
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