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General NPI Number Information
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NPI Number | 1114702107
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Entity Type | Individual
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Provider Name | MIKALA HUNT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 9381 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5410
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Country | US
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Telephone | 727-258-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 8047 HIDDEN VALLEY DR
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City | PAPILLION
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State | NE
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Zip | 68046-4657
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Country | US
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Telephone | 402-850-5109
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT40498
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License Number State | FL
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