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General NPI Number Information
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NPI Number | 1750477485
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Entity Type | Individual
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Provider Name | SHELLEY GAIL HORNER M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 22231 MULHOLLAND HWY SUITE 200
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City | CALABASAS
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State | CA
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Zip | 91302-5123
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Country | US
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Telephone | 818-345-8022
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Fax | 818-222-3896
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Provider Business Mailing Address
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Address Line | 22231 MULHOLLAND HWY SUITE 200
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City | CALABASAS
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State | CA
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Zip | 91302-5123
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Country | US
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Telephone | 818-345-8022
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Fax | 818-222-3896
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC33592
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License Number State | CA
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