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General NPI Number Information
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NPI Number | 1942554464
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Entity Type | Individual
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Provider Name | REBECCA HORNE LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 715 JAMES CURRIE ROAD CLASSIC EQUESTRIAN FAMILY SERVICES
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-274-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 BELLEVUE RD
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City | DUBLIN
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State | GA
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Zip | 31021-9068
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Country | US
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Telephone | 478-998-1582
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001268
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License Number State | GA
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