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General NPI Number Information
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NPI Number | 1932879830
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Entity Type | Individual
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Provider Name | SANDRA LYNN HORTON RPH
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 1341 WRIGHT AVE
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City | ALMA
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State | MI
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Zip | 48801-1134
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Country | US
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Telephone | 989-463-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 3089 HUNTERS TRL
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-8804
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Country | US
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Telephone | 989-621-3503
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302411011
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License Number State | MI
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