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General NPI Number Information
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NPI Number | 1154734465
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Entity Type | Organization
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Legal Business Name | THOMAS HUNTER & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 830 PENNSYLVANIA AVE STE 402
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City | CHARLESTON
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State | WV
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Zip | 25302-3302
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Country | US
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Telephone | 304-343-4177
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Fax | 304-343-0875
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Provider Business Mailing Address
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Address Line | 830 PENNSYLVANIA AVE STE 402
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City | CHARLESTON
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State | WV
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Zip | 25302-3302
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Country | US
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Telephone | 304-343-4177
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Fax | 304-343-0875
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TAMMY L KNOX
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Credential |
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Telephone | 304-343-4177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19845
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 12093
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License Number State | WV
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