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General NPI Number Information
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NPI Number | 1841205705
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Entity Type | Individual
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Provider Name | CONNIE MARIE HORTON RN. C FNP.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3980 STATE SCHOOL ROAD
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City | DENTON
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State | TX
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Zip | 76210
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Country | US
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Telephone | 940-591-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 621 EAST KIOWA DRIVE
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City | LAKE KIOWA
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State | TX
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Zip | 76240
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Country | US
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Telephone | 940-612-3973
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 547654
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License Number State | TX
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