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General NPI Number Information
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NPI Number | 1255078028
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Entity Type | Individual
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Provider Name | MIRYAM T HUNTER LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1465 41ST ST STE 6
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City | MOLINE
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State | IL
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Zip | 61265-2579
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Country | US
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Telephone | 309-232-8669
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Fax | 309-326-4521
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Provider Business Mailing Address
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Address Line | 1465 41ST ST STE 6
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City | MOLINE
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State | IL
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Zip | 61265-2579
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Country | US
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Telephone | 309-232-8669
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Fax | 309-326-4521
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 081465
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149029539
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License Number State | IL
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