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General NPI Number Information
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NPI Number | 1366542474
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Entity Type | Individual
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Provider Name | TRACY L HUNTER CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 2245 WINCHESTER AVE SUITE 1
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City | ASHLAND
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State | KY
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Zip | 41101
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Country | US
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Telephone | 606-324-2554
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Fax | 606-324-2581
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Provider Business Mailing Address
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Address Line | PO BOX 2379
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City | ASHLAND
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State | KY
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Zip | 41105-2379
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Country | US
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Telephone | 606-408-6200
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Fax | 606-408-6612
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4078P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 3004078
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 3004078
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License Number State | KY
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