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General NPI Number Information
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NPI Number | 1912625583
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Entity Type | Organization
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Legal Business Name | DR. SHARON MAHOWALD-HORNER, PLLC
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 9337 WOODRIDGE CIR
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City | SAVAGE
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State | MN
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Zip | 55378-3153
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Country | US
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Telephone | 952-210-0681
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Fax |
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Provider Business Mailing Address
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Address Line | 9337 WOODRIDGE CIR
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City | SAVAGE
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State | MN
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Zip | 55378-3153
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Country | US
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Telephone | 952-210-0681
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | SHARON BETH MAHOWALD-HORNER
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Credential | PSYD
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Telephone | 952-395-1483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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