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General NPI Number Information
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NPI Number | 1396927273
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Entity Type | Individual
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Provider Name | SHAWN ERIC HUNT PT, ATC
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Gender | Male
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 5915 PONCE DE LEON BLVD PLUMER BLDG 5TH FLOOR
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City | CORAL GABLES
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State | FL
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Zip | 33146-2435
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Country | US
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Telephone | 305-284-4535
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Fax |
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Provider Business Mailing Address
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Address Line | 5915 PONCE DE LEON BLVD PLUMER BLDG 5TH FLOOR
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City | CORAL GABLES
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State | FL
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Zip | 33146-2435
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Country | US
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Telephone | 305-284-4535
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT18454
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL2241
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License Number State | FL
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