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General NPI Number Information
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NPI Number | 1205260197
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Entity Type | Individual
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Provider Name | KAYLENE M HUNT LMT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 09/02/2013
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Provider Practice Location Address
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Address Line | 625 LEXINGTON AVE UNIT 5
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City | MANSFIELD
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State | OH
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Zip | 44907-1579
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Country | US
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Telephone | 419-564-0502
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Fax |
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Provider Business Mailing Address
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Address Line | 625 LEXINGTON AVE UNIT 5
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City | MANSFIELD
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State | OH
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Zip | 44907-1579
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Country | US
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Telephone | 419-564-0502
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 10105
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License Number State | OH
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