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General NPI Number Information
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NPI Number | 1205178308
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Entity Type | Individual
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Provider Name | KENDRA LYNETTE HUNTER DMD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 1190 MARTIN LUTHER KING JR BLVD
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City | COLUMBUS
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State | GA
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Zip | 31906-3665
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Country | US
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Telephone | 706-322-3218
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Fax |
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Provider Business Mailing Address
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Address Line | 9276 COLLINWOOD DR
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City | MIDLAND
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State | GA
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Zip | 31820-4278
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Country | US
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Telephone | 706-341-7579
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.023904
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN015775
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License Number State | GA
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