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General NPI Number Information
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NPI Number | 1457542599
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Entity Type | Organization
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Legal Business Name | KIMBERLY HORN
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 4301 COLLEGE DR SUITE 400
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City | VERNON
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State | TX
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Zip | 76384-3128
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Country | US
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Telephone | 940-357-1266
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Fax | 940-553-1602
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Provider Business Mailing Address
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Address Line | 4301 COLLEGE DR SUITE 400
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City | VERNON
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State | TX
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Zip | 76384-3128
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Country | US
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Telephone | 940-357-1266
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Fax | 940-553-1602
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Authorized Official
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Title or Position | OTR/OWNER
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Name | MRS. KIMBERLY BETH HORN
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Credential | OTR
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Telephone | 940-357-1266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 109025
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License Number State | TX
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