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General NPI Number Information
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NPI Number | 1871905539
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Entity Type | Individual
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Provider Name | KRISTIN HORKEY LPN, CLC
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Gender | Female
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 3622 BELMONT AVE SUITE 21
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1450
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Country | US
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Telephone | 330-406-9929
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Fax |
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Provider Business Mailing Address
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Address Line | 92 GERTRUDE AVE
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City | BOARDMAN
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State | OH
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Zip | 44512-2904
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Country | US
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Telephone | 330-509-4219
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 152362-M-IV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State | OH
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