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General NPI Number Information
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NPI Number | 1073918025
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Entity Type | Individual
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Provider Name | VALERIE DAVIS HUNT LPN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2014
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Last Update Date | 11/01/2014
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Provider Practice Location Address
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Address Line | 195 STILLBROOK WAY
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-5358
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Country | US
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Telephone | 404-226-9081
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Fax | 770-719-2796
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Provider Business Mailing Address
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Address Line | 195 STILLBROOK WAY
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-5358
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Country | US
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Telephone | 404-226-9081
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Fax | 770-719-2796
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN072783
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License Number State | GA
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