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General NPI Number Information
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NPI Number | 1457571978
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Entity Type | Individual
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Provider Name | MS. DENISE EMILY HORNER
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19375 HIGHWAY 116
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City | MONTE RIO
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State | CA
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Zip | 95462-0519
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Country | US
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Telephone | 707-865-1200
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Fax | 707-865-3151
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Provider Business Mailing Address
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Address Line | 17845 BEACH AVE
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City | GUERNEVILLE
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State | CA
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Zip | 95446-9711
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Country | US
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Telephone | 707-887-2338
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Fax | 707-865-3151
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMF 42325
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License Number State | CA
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