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General NPI Number Information
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NPI Number | 1780561027
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Entity Type | Individual
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Provider Name | MELISSA ANN HORTON PA
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Gender | Female
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 231 E NORTHWEST HWY
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City | PALATINE
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State | IL
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Zip | 60067-8114
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Country | US
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Telephone | 847-808-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BURLINGTON CIR APT 202
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City | WHEELING
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State | IL
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Zip | 60090-4107
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Country | US
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Telephone | 815-263-4882
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.011507
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License Number State | IL
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