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General NPI Number Information
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NPI Number | 1467946715
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Entity Type | Individual
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Provider Name | KENDRA HORNE LCSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 100 W PARKVIEW DR
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City | HENDERSON
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State | NC
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Zip | 27536-5923
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Country | US
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Telephone | 252-438-3549
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Fax |
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Provider Business Mailing Address
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Address Line | 717 OLD FARM RD S
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-5032
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Country | US
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Telephone | 252-536-5440
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C014559
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License Number State | NC
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