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General NPI Number Information
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NPI Number | 1194359430
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Entity Type | Individual
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Provider Name | JOHN LEIGH HORNER LPC
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Gender | Male
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 700 STOCKTON ST APT 416
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City | RICHMOND
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State | VA
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Zip | 23224-4188
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Country | US
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Telephone | 804-687-1267
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7431
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City | RICHMOND
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State | VA
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Zip | 23221-0431
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Country | US
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Telephone | 804-355-9460
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701008931
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License Number State | VA
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