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NPI Code Detail

MEDICARE: EMILY ANN HORRUM

MEDICARE:   EMILY ANN HORRUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1649634742
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ANN HORRUM
Provider Business Mailing Address
First Line : 3019 N 148TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68116-8172
Country : US
Telephone Number : 402-651-7328
Fax Number :
Provider Business Practice Location Address
First Line : 1010 LONGVIEW RD
Second Line :
City : MISSOURI VALLEY
State : IA
Zip : 51555-1227
Country : US
Telephone Number : 712-642-2264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2016
Last Update Date : 04/05/2016

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Directions to “ EMILY ANN HORRUM ” Practice Location

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