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General NPI Number Information
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NPI Number | 1992583652
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Entity Type | Individual
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Provider Name | KABRINA LATUAN HORSEY
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 11974 EDGEHILL TERRACE RD
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-2105
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Country | US
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Telephone | 410-651-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 3366 RESIDENTIAL DR
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City | EDEN
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State | MD
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Zip | 21822-2233
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Country | US
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Telephone | 443-359-9511
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 10076
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License Number State | MD
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