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General NPI Number Information
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NPI Number | 1154520658
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Entity Type | Individual
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Provider Name | WADE ROBERT HUNSAKER FNP
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3770 S 16TH AVE
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City | TUCSON
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State | AZ
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Zip | 85713-6081
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Country | US
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Telephone | 520-620-1200
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Fax | 866-473-0159
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Provider Business Mailing Address
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Address Line | 495 E RINCON ST STE 215
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City | CORONA
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State | CA
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Zip | 92879-1378
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Country | US
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Telephone | 951-523-0117
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Fax | 951-475-7013
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 248104
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License Number State | AZ
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