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General NPI Number Information
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NPI Number | 1114917366
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Entity Type | Individual
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Provider Name | EDGAR L HUNT JR. MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 2750 CLAY EDWARDS DR STE 420
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3237
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Country | US
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Telephone | 816-241-3338
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Fax | 816-936-8118
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Provider Business Mailing Address
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Address Line | 2750 CLAY EDWARDS DR STE 420
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3237
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Country | US
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Telephone | 816-241-3338
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Fax | 816-936-8118
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 2003008002
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 04-30166
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 36889
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2003008002
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 04-30166
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 36889
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License Number State | CO
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