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General NPI Number Information
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NPI Number | 1841355245
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Entity Type | Individual
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Provider Name | ROBERT KELEIGH HORNER OD
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 4835 KIETZKE LN
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City | RENO
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State | NV
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Zip | 89509-6549
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Country | US
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Telephone | 775-825-1403
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Fax | 755-829-8218
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Provider Business Mailing Address
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Address Line | 7064 SACRED CIR
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City | SPARKS
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State | NV
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Zip | 89436-5477
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Country | US
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Telephone | 435-256-5581
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 278987-9934
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 751
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0DP-1068
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License Number State | ID
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