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General NPI Number Information
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NPI Number | 1053152397
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Entity Type | Individual
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Provider Name | HUNTER ROBERT DUNCAN
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Gender | Male
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 599 EASTERN AVE
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City | MARENGO
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State | IA
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Zip | 52301-1705
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Country | US
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Telephone | 319-642-7341
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Fax |
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Provider Business Mailing Address
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Address Line | 44 REGAL LN
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City | IOWA CITY
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State | IA
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Zip | 52240-6758
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Country | US
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Telephone | 515-890-1458
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS-10210
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License Number State | IA
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