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General NPI Number Information
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NPI Number | 1376958652
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Entity Type | Individual
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Provider Name | MRS. LORETTA DIRDEN HORN
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Gender | Female
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 440 BENMAR DR
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City | HOUSTON
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State | TX
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Zip | 77060-3165
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Country | US
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Telephone | 281-814-9895
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Fax |
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Provider Business Mailing Address
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Address Line | 14115 TORREY VILLAGE DR
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City | HOUSTON
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State | TX
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Zip | 77014-1829
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Country | US
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Telephone | 281-814-9895
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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