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General NPI Number Information
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NPI Number | 1265436539
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Entity Type | Individual
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Provider Name | GARY W HUNT MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 2855 OLD HIGHWAY 5 STE 104
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City | BLUE RIDGE
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State | GA
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Zip | 30513-6239
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Country | US
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Telephone | 706-258-4868
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Fax | 706-258-1165
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Provider Business Mailing Address
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Address Line | 7100 COMMERCE WAY SUITE 180
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City | BRENTWOOD
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State | TN
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Zip | 37027-2829
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Country | US
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Telephone | 615-465-7000
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Fax | 615-309-3338
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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 | 23837
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33359
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License Number State | GA
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