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General NPI Number Information
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NPI Number | 1356415301
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Entity Type | Individual
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Provider Name | JAMES THOMAS HORNE D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 CONVENT RD
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City | SYOSSET
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State | NY
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Zip | 11791-3868
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Country | US
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Telephone | 516-921-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 81 PONDFIELD RD # 146
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City | BRONXVILLE
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State | NY
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Zip | 10708-3818
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Country | US
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Telephone | 914-837-9979
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 202348
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License Number State | NY
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