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General NPI Number Information
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NPI Number | 1407586779
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Entity Type | Individual
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Provider Name | HUNTER MICHAEL GREEN DO
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Gender | Male
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1245 WESTGATE PKWY
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City | DOTHAN
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State | AL
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Zip | 36303-2151
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Country | US
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Telephone | 334-793-9595
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Fax | 334-793-6984
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Provider Business Mailing Address
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Address Line | PO BOX 1928
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City | DOTHAN
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State | AL
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Zip | 36302-1928
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Country | US
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Telephone | 334-793-8087
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Fax | 334-793-8191
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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 | 3951
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License Number State | AL
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