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General NPI Number Information
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NPI Number | 1346268786
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Entity Type | Individual
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Provider Name | HARRY G. HUNT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 1212 BROAD ST
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City | COLUMBIA
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State | MS
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Zip | 39429-3114
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Country | US
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Telephone | 601-444-9266
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Fax | 601-444-9267
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Provider Business Mailing Address
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Address Line | 120 5TH AVE
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City | MCCOMB
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State | MS
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Zip | 39648-4159
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Country | US
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Telephone | 601-249-0013
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Fax | 601-413-0002
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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 | 15726
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License Number State | MS
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