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General NPI Number Information
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NPI Number | 1588978050
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Entity Type | Individual
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Provider Name | COURTNEY MAY HORN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 1005 BALCOM LN
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City | TRUMANN
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State | AR
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Zip | 72472-9502
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Country | US
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Telephone | 870-483-1461
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Fax |
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Provider Business Mailing Address
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Address Line | 677 HARBOR EDGE CIR APT 102
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City | MEMPHIS
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State | TN
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Zip | 38103-0856
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Country | US
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Telephone | 870-240-4701
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR2353
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License Number State | AR
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