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General NPI Number Information
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NPI Number | 1609801521
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Entity Type | Individual
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Provider Name | GORDON J HORN PHD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 341 N MAITLAND AVE STE 135
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City | MAITLAND
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State | FL
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Zip | 32751
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Country | US
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Telephone | 407-592-9913
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Fax | 407-386-6085
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Provider Business Mailing Address
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Address Line | 341 N MAITLAND AVE STE 135
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City | MAITLAND
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State | FL
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Zip | 32751-4759
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Country | US
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Telephone | 407-592-9913
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Fax | 407-386-6085
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 2252
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY5700
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License Number State | FL
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