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General NPI Number Information
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NPI Number | 1073784146
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Entity Type | Organization
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Legal Business Name | KENNETH I HUNT
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 1006 N H ST
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City | ABERDEEN
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State | WA
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Zip | 98520-2521
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Country | US
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Telephone | 360-537-6391
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Fax | 360-537-6322
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Provider Business Mailing Address
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Address Line | 1006 N H ST
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City | ABERDEEN
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State | WA
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Zip | 98520-2521
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Country | US
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Telephone | 360-537-6391
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Fax | 360-537-6322
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH I HUNT
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Credential |
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Telephone | 360-537-6391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD00012628
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License Number State | WA
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