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NPI 1134339278

NPI 1134339278 : HUNTER A STENZEL D.O. : COOKEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1134339278
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    Entity Type          |    Individual 
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    Provider Name        |    HUNTER A STENZEL D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/23/2007
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    Last Update Date     |    09/24/2018
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Provider Practice Location Address
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    Address Line         |    1080 NEAL ST STE 103 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501
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    Country              |    US
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    Telephone            |    931-526-3316
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    Fax                  |    931-614-7517
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Provider Business Mailing Address
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    Address Line         |    1080 NEAL ST STE 103 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-0943
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    Country              |    US
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    Telephone            |    931-526-3316
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    Fax                  |    931-614-7517
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2502
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    License Number State |    TN
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