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NPI 1730061227

NPI 1730061227 : KAMERON HORTON NP : CANTON, MS

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General NPI Number Information
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    NPI Number           |    1730061227
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    Entity Type          |    Individual 
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    Provider Name        |    KAMERON HORTON NP
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    Gender               |     
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Dates
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    Enumeration Date     |    07/24/2025
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    Last Update Date     |    08/22/2025
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Provider Practice Location Address
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    Address Line         |    160 RIVER OAKS DR STE B 
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    City                 |    CANTON
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    State                |    MS
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    Zip                  |    39046-5376
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    Country              |    US
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    Telephone            |    601-761-7280
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    Fax                  |    662-495-7183
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1089 
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    City                 |    HAMMOND
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    State                |    LA
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    Zip                  |    70404-1089
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    Country              |    US
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    Telephone            |    985-892-7070
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    Fax                  |    985-892-7017
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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       |    907530
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    License Number State |    MS
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