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General NPI Number Information
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NPI Number | 1437964350
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Entity Type | Individual
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Provider Name | CHARITY GRACE HUNTER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 6227 THOMPSON RD
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City | SYRACUSE
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State | NY
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Zip | 13206-1405
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Country | US
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Telephone | 315-937-2007
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 CHARD RD
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City | CAZENOVIA
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State | NY
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Zip | 13035-9379
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Country | US
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Telephone | 315-383-3521
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 352050
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License Number State | NY
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