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General NPI Number Information
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NPI Number | 1467636068
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Entity Type | Individual
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Provider Name | DIANE PATRICIA HUNTER
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 1103 MANGO CT
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City | OLDSMAR
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State | FL
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Zip | 34677-4705
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Country | US
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Telephone | 727-643-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 1061 VIRGINIA ST
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City | DUNEDIN
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State | FL
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Zip | 34698-7326
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Country | US
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Telephone | 727-733-4189
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 20558
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License Number State | FL
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