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General NPI Number Information
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NPI Number | 1205805959
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Entity Type | Individual
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Provider Name | JANIS E HORAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 1473 SR 44
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City | CONNERSVILLE
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State | IN
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Zip | 47331-8374
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Country | US
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Telephone | 765-825-0511
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Fax | 765-827-1247
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Provider Business Mailing Address
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Address Line | 1908 N PARK RD
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City | CONNERSVILLE
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State | IN
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Zip | 47331-2810
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Country | US
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Telephone | 765-827-0876
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Fax | 765-825-5454
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71001128A
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License Number State | IN
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