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General NPI Number Information
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NPI Number | 1376518183
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Entity Type | Individual
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Provider Name | DEBORAH JOANN HUNTER FNP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 130 SIRINGO RD SUITE # 201
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City | SANTA FE
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State | NM
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Zip | 87505-5863
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Country | US
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Telephone | 505-989-3236
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Fax | 505-989-5079
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Provider Business Mailing Address
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Address Line | 130 SIRINGO RD SUITE # 201
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City | SANTA FE
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State | NM
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Zip | 87505-5863
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Country | US
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Telephone | 505-989-3236
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Fax | 505-989-5079
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R41565
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License Number State | NM
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