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General NPI Number Information
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NPI Number | 1164878708
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Entity Type | Individual
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Provider Name | JENNIFER RENEE HORN L.AC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 27405 PUERTA REAL STE 210
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6314
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Country | US
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Telephone | 949-420-1338
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Fax |
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Provider Business Mailing Address
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Address Line | 18207 LEAF CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1060
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Country | US
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Telephone | 949-257-9141
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 16966
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License Number State | CA
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