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General NPI Number Information
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NPI Number | 1588296586
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Entity Type | Individual
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Provider Name | AMANDA M HORNE APRN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 620 N MAIN ST STE 2A
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City | HARRISON
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State | AR
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Zip | 72601-2911
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Country | US
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Telephone | 870-414-4599
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Fax | 704-144-4318
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Provider Business Mailing Address
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Address Line | 620 N MAIN ST STE 2A
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City | HARRISON
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State | AR
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Zip | 72601-2911
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Country | US
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Telephone | 870-414-4599
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Fax | 704-144-4318
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 122610
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License Number State | AR
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