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General NPI Number Information
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NPI Number | 1962560557
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Entity Type | Organization
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Legal Business Name | M AND J HORN INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 9120 AIRPORT BLVD SUITE F
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City | MOBILE
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State | AL
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Zip | 36695
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Country | US
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Telephone | 251-634-8885
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Fax | 251-635-1175
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Provider Business Mailing Address
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Address Line | 8689 AUGUSTA DR
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City | MOBILE
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State | AL
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Zip | 36695
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Country | US
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Telephone | 251-634-8885
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Fax | 251-631-3809
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Authorized Official
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Title or Position | VP
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Name | JAN R HORN
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Credential |
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Telephone | 251-634-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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