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General NPI Number Information
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NPI Number | 1518994292
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Entity Type | Individual
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Provider Name | ROBERT ALLEN HORNE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3501 RICE ST SUITE 214
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City | LIHUE
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State | HI
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Zip | 96766-1765
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Country | US
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Telephone | 808-245-6116
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Fax | 808-245-6116
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Provider Business Mailing Address
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Address Line | 5733 KOALI ST UNIT A
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City | KAPAA
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State | HI
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Zip | 96746-9622
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Country | US
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Telephone | 808-823-0343
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Fax | 808-245-6116
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-443
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License Number State | HI
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