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General NPI Number Information
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NPI Number | 1437383932
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Entity Type | Individual
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Provider Name | BART TIBERIUS HUNTER D.C., FNP
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Gender | Male
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 2800 E AJO WAY STE 103
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City | TUCSON
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State | AZ
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Zip | 85713-6204
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Country | US
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Telephone | 520-694-4000
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Fax | 520-694-0635
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Provider Business Mailing Address
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Address Line | 2800 E AJO WAY STE 103
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City | TUCSON
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State | AZ
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Zip | 85713-6204
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Country | US
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Telephone | 435-656-2424
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Fax | 520-694-0635
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9122081-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP10049
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License Number State | AZ
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