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General NPI Number Information
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NPI Number | 1962419879
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Entity Type | Individual
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Provider Name | DEBORAH VAN HORN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 600 ROUTE 73 N STE 11
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City | MARLTON
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State | NJ
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Zip | 08053-1603
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Country | US
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Telephone | 856-599-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 YARDLEY RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2845
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Country | US
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Telephone | 856-905-5261
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3462
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License Number State | NJ
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