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General NPI Number Information
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NPI Number | 1306167705
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Entity Type | Individual
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Provider Name | AUDREY LILIAN HUNT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2010
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 1220 LEE ST E
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City | CHARLESTON
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State | WV
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Zip | 25301-1863
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Country | US
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Telephone | 304-388-6630
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Fax | 304-388-6629
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Provider Business Mailing Address
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Address Line | 1220 LEE ST E
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City | CHARLESTON
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State | WV
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Zip | 25301-1863
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Country | US
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Telephone | 304-388-6630
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Fax | 304-388-6629
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25905
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License Number State | WV
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