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General NPI Number Information
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NPI Number | 1205463544
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Entity Type | Individual
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Provider Name | CHARLES ALEXANDER HORN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 2946 S CHURCH ST
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City | MURFREESBORO
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State | TN
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Zip | 37127-8351
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Country | US
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Telephone | 615-217-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 3534 SHADY LN
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City | MURFREESBORO
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State | TN
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Zip | 37130-6890
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Country | US
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Telephone | 615-904-4968
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43440
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License Number State | TN
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