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General NPI Number Information
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NPI Number | 1992794317
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Entity Type | Individual
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Provider Name | LYNN HORTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 921 S BALLANCEE
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City | LUSK
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State | WY
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Zip | 82225-0780
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Country | US
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Telephone | 307-334-4000
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Fax | 307-334-0183
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Provider Business Mailing Address
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Address Line | 720 LINDSAY LN SUITE 2
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City | CODY
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State | WY
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Zip | 82414-4103
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Country | US
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Telephone | 307-578-1800
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Fax | 307-578-1814
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6138A
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License Number State | WY
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