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General NPI Number Information
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NPI Number | 1376931477
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Entity Type | Individual
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Provider Name | JEFFREY THOMAS HUNTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2014
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3771 FM 747 S
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City | JACKSONVILLE
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State | TX
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Zip | 75766-5993
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Country | US
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Telephone | 832-771-2410
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Fax | 281-617-4210
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Provider Business Mailing Address
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Address Line | 3771 FM 747 S
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City | JACKSONVILLE
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State | TX
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Zip | 75766-5993
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Country | US
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Telephone | 832-771-2410
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Fax | 281-617-4210
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | K9807
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License Number State | TX
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