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General NPI Number Information
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NPI Number | 1033707252
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Entity Type | Individual
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Provider Name | JOHN HARVEY HUNT III CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 1020 S MACON ST
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City | BALTIMORE
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State | MD
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Zip | 21224-4443
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Country | US
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Telephone | 919-771-5269
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Fax |
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Provider Business Mailing Address
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Address Line | 218 N CHARLES ST APT 902
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City | BALTIMORE
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State | MD
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Zip | 21201-4082
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Country | US
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Telephone | 919-771-5269
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 248474
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 248474
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R250567
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License Number State | MD
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