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General NPI Number Information
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NPI Number | 1982667465
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Entity Type | Individual
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Provider Name | STEPHEN DAVID HORNOR M.A., A.T.,C.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | UNIVERSITY OF CENTRAL ARKANSAS PRINCE CENTER - ROOM 133C
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City | CONWAY
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State | AR
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Zip | 72035-0001
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Country | US
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Telephone | 501-450-5106
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Fax | 501-450-5087
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF CENTRAL ARKANSAS PRINCE CENTER - ROOM 133C
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City | CONWAY
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State | AR
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Zip | 72035-0001
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Country | US
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Telephone | 501-450-5106
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Fax | 501-450-5087
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT 164
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License Number State | AR
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