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General NPI Number Information
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NPI Number | 1952108102
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Entity Type | Individual
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Provider Name | LOREEN HORINE NP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 508 N MAIN ST STE A
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City | HINESVILLE
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State | GA
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Zip | 31313-2570
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Country | US
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Telephone | 912-785-2100
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Fax | 912-368-3868
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Provider Business Mailing Address
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Address Line | 606 BALTIMORE AVE STE 202
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City | BALTIMORE
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State | MD
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Zip | 21204-4097
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Country | US
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Telephone | 410-570-2021
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024192406
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R147417
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN302057
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License Number State | GA
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