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General NPI Number Information
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NPI Number | 1518642503
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Entity Type | Individual
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Provider Name | JANINE HORNE RN
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 6120 GRAY WOLF CT
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City | WALDORF
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State | MD
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Zip | 20603-4324
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Country | US
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Telephone | 301-848-3791
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 CRAIN HWY STE 302A
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City | WALDORF
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State | MD
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Zip | 20603-4843
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Country | US
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Telephone | 301-848-3791
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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 | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number | R216017
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 216017
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R216017
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | R216017
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License Number State | MD
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