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General NPI Number Information
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NPI Number | 1326465121
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Entity Type | Individual
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Provider Name | KIMBERLY SUE HUNTER M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 3500 ELLINGTON ST
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City | CHARLOTTE
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State | NC
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Zip | 28211-1102
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Country | US
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Telephone | 704-432-3820
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Fax | 704-432-0748
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Provider Business Mailing Address
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Address Line | 5883 BIRCHFIELD LN NW
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City | CONCORD
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State | NC
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Zip | 28027-2528
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Country | US
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Telephone | 704-432-3820
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Fax | 704-432-0748
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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