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General NPI Number Information
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NPI Number | 1457593378
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL HORN JR. PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 708 3RD ST N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-7149
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Country | US
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Telephone | 904-822-4622
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Fax | 904-201-2595
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Provider Business Mailing Address
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Address Line | 708 3RD ST N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-7149
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Country | US
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Telephone | 904-822-4622
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Fax | 904-201-2595
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT019817
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070017336
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT34567
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License Number State | FL
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