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General NPI Number Information
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NPI Number | 1780296145
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Entity Type | Individual
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Provider Name | ELAINE F HORN PT, DPT, CMP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 1445 BOSTON POST RD
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City | GUILFORD
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State | CT
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Zip | 06437-4338
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Country | US
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Telephone | 203-458-5200
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Fax | 203-458-5201
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Provider Business Mailing Address
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Address Line | 64 AUGUR ROAD EXT
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City | NORTHFORD
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State | CT
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Zip | 06472-1511
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Country | US
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Telephone | 203-927-3066
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Fax | 203-458-5201
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008832
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License Number State | CT
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