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General NPI Number Information
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NPI Number | 1073135018
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Entity Type | Organization
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Legal Business Name | HUNT FAMILY DENTISTRY
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 1000 E JOHN ROWAN BLVD STE 101
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City | BARDSTOWN
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State | KY
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Zip | 40004-2060
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Country | US
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Telephone | 502-348-2589
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 SOUTHERN PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40214-1424
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Country | US
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Telephone | 502-366-4121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL HUNT
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Credential |
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Telephone | 606-922-7648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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