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General NPI Number Information
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NPI Number | 1750331542
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Entity Type | Individual
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Provider Name | GAYLYN MCILWAIN HORNE MD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 7067 VETERANS PARKWAY SUITE 210
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City | PELL CITY
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State | AL
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Zip | 35125
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Country | US
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Telephone | 205-405-7348
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Fax | 205-338-0550
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Provider Business Mailing Address
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Address Line | 7067 VETERANS PKWY STE 210
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City | PELL CITY
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State | AL
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Zip | 35125-5128
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Country | US
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Telephone | 205-405-7348
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Fax | 205-338-0550
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MD.24389
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License Number State | AL
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