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General NPI Number Information
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NPI Number | 1124012935
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Entity Type | Organization
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Legal Business Name | HUNT REGIONAL MEDICAL PARTNERS
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 734 E QUINLAN PKWY STE A
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City | QUINLAN
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State | TX
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Zip | 75474-8640
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Country | US
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Telephone | 903-356-2144
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Fax | 903-356-3025
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Provider Business Mailing Address
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Address Line | 501 AIR PARK AVE
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City | GREENVILLE
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State | TX
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Zip | 75402-3000
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Country | US
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Telephone | 903-408-1100
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Fax | 903-408-1129
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Authorized Official
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Title or Position | OPERATIONAL MANAGER
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Name | MR. STEVEN LEE BOLES
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Credential | CEO
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Telephone | 903-408-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 458973
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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