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General NPI Number Information
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NPI Number | 1457502916
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Entity Type | Individual
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Provider Name | HUNTER THOMAS MCCORD D.D.S
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Gender | Male
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1015 PEERLESS CROSSING NW
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City | CLEVELAND
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State | TN
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Zip | 37312
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Country | US
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Telephone | 423-479-8544
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Fax | 423-479-1444
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Provider Business Mailing Address
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Address Line | 1015 PEERLESS CROSSING NW
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City | CLEVELAND
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State | TN
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Zip | 37312
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Country | US
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Telephone | 423-479-8544
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Fax | 423-479-1444
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS8857
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0442000173
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 018.001702
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 8857
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License Number State | TN
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