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NPI 1205229937

NPI 1205229937 : DAWN HUNT : TAYLOR, MI

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General NPI Number Information
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    NPI Number           |    1205229937
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN HUNT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/04/2015
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    Last Update Date     |    03/04/2015
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Provider Practice Location Address
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    Address Line         |    9100 WILLIAM ST 
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    City                 |    TAYLOR
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    State                |    MI
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    Zip                  |    48180-2821
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    Country              |    US
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    Telephone            |    734-334-8248
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9100 WILLIAM ST 
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    City                 |    TAYLOR
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    State                |    MI
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    Zip                  |    48180-2821
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    Country              |    US
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    Telephone            |    734-334-8248
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    L525257
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    License Number State |    MI
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