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General NPI Number Information
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NPI Number | 1851209647
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Entity Type | Individual
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Provider Name | MACKENNA JANE VAN HORN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 855 S NEW ST
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City | WEST CHESTER
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State | PA
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Zip | 19383-3368
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Country | US
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Telephone | 610-436-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 805 PARTRIDGE CT
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City | HOCKESSIN
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State | DE
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Zip | 19707-1309
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Country | US
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Telephone | 302-668-5543
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | PA
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