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General NPI Number Information
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NPI Number | 1558429175
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Entity Type | Organization
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Legal Business Name | AMILDA K HORNE MD PA
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 1316 MARTIN LUTHER KING JR PARKWAY
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City | DURHAM
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State | NC
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Zip | 27707-4606
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Country | US
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Telephone | 919-403-7250
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Fax | 919-403-8950
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Provider Business Mailing Address
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Address Line | 1316 MARTIN LUTHER KING JR PARKWAY
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City | DURHAM
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State | NC
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Zip | 27707-4606
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Country | US
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Telephone | 919-403-7250
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Fax | 919-403-8950
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMILDA K HORNE
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Credential | MD
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Telephone | 919-403-7250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | LAMD09617R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | NC39183
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License Number State | NC
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