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General NPI Number Information
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NPI Number | 1427483056
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Entity Type | Individual
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Provider Name | BETTY JO VAN HORN RN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 5870 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2037
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Country | US
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Telephone | 951-683-6596
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Fax | 951-683-4239
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Provider Business Mailing Address
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Address Line | 5870 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2037
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Country | US
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Telephone | 951-683-6596
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 613315
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95005657
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95005657
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License Number State | CA
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