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General NPI Number Information
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NPI Number | 1871005322
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Entity Type | Individual
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Provider Name | CHRISTINA ELAINE HORTON LVN/LPT
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Gender | Female
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 11424 CHAMBERLAINE WAY STE 11&12
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City | ADELANTO
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State | CA
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Zip | 92301-2869
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Country | US
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Telephone | 760-246-0934
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Fax |
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Provider Business Mailing Address
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Address Line | 15165 COLVILLE CT
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City | VICTORVILLE
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State | CA
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Zip | 92394-6754
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Country | US
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Telephone | 951-289-2631
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN689190
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | PT38095
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License Number State | CA
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