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NPI 1932042108

NPI 1932042108 : BRADLEY HORN, LLC : NORMAN, OK

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General NPI Number Information
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    NPI Number           |    1932042108
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRADLEY HORN, LLC 
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Dates
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    Enumeration Date     |    04/13/2026
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    Last Update Date     |    04/13/2026
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Provider Practice Location Address
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    Address Line         |    2776 WASHINGTON DR STE 100 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-1018
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    Country              |    US
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    Telephone            |    405-565-0554
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    Fax                  |    405-594-6760
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Provider Business Mailing Address
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    Address Line         |    2776 WASHINGTON DR STE 100 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-1018
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    Country              |    US
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    Telephone            |    405-565-0554
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    Fax                  |    405-594-6760
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MR. BRADLEY KEITH HORN II
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    Credential           |    LPC
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    Telephone            |    405-565-0554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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