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General NPI Number Information
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NPI Number | 1154355881
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Entity Type | Individual
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Provider Name | LUISA S HORN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 696 SECOND STREET PIKE SUITE 201
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City | RICHBORO
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State | PA
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Zip | 18954-1068
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Country | US
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Telephone | 267-575-0632
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Fax | 267-685-4296
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Provider Business Mailing Address
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Address Line | 3184 BURNLEY PL
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City | HOLLAND
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State | PA
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Zip | 18966-2902
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Country | US
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Telephone | 267-575-0632
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Fax | 267-685-4296
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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 | PS003493L
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License Number State | PA
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