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General NPI Number Information
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NPI Number | 1881483147
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Entity Type | Individual
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Provider Name | DONTRANIKA MARIA HORTON MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2025
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 1161 21ST AVE S STE CCC 4303
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City | NASHVILLE
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State | TN
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Zip | 37232-0011
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Country | US
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Telephone | 615-343-6642
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Fax | 615-322-0689
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Provider Business Mailing Address
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Address Line | 1648 HAWKS BILL DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-7874
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Country | US
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Telephone | 757-714-5079
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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 | 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 |
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