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General NPI Number Information
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NPI Number | 1609211804
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Entity Type | Individual
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Provider Name | KATE LYNN HORSTMEYER RD LD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 238 S CONGRESS ST
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City | RUSHVILLE
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State | IL
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Zip | 62681-1465
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Country | US
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Telephone | 217-322-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 PRAIRIE VISTA DR
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City | CHATHAM
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State | IL
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Zip | 62629-5095
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Country | US
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Telephone | 812-204-8110
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT82723
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164005179
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License Number State | IL
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