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General NPI Number Information
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NPI Number | 1174810832
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Entity Type | Individual
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Provider Name | HUNTER SCOTT LETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 1815 HOSPITAL DR 3RD FLOOR
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City | JACKSON
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State | MS
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Zip | 39204-3425
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Country | US
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Telephone | 601-815-5700
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Fax | 601-346-5708
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Provider Business Mailing Address
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Address Line | PO BOX 4999
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City | JACKSON
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State | MS
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Zip | 39296-4999
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Country | US
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Telephone | 601-984-5426
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Fax | 601-984-6889
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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 | 810-L
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License Number State | MS
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