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General NPI Number Information
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NPI Number | 1700500949
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Entity Type | Individual
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Provider Name | QUAISHA HORNE LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 7635 ASHLEY PARK CT STE 503H
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City | ORLANDO
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State | FL
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Zip | 32835-6197
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Country | US
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Telephone | 321-972-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 1502 ELOISE CT
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City | POINCIANA
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State | FL
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Zip | 34759-4626
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Country | US
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Telephone | 850-510-6410
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH19961
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License Number State | FL
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