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NPI 1336109594

NPI 1336109594 : CHRISTOPHER RYAN HUNT PT : WICHITA FALLS, TX

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General NPI Number Information
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    NPI Number           |    1336109594
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER RYAN HUNT PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    302 LOOP 11 
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76306-3705
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    Country              |    US
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    Telephone            |    940-397-8268
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1105 W 1ST ST 
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    City                 |    GRANDFIELD
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    State                |    OK
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    Zip                  |    73546-9644
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    Country              |    US
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    Telephone            |    580-479-3410
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1156058
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    License Number State |    TX
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