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General NPI Number Information
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NPI Number | 1467963801
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Entity Type | Organization
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Legal Business Name | JULIANNE C HUNNICUTT PLLC
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 10/12/2017
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Provider Practice Location Address
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Address Line | 950 JEFFERSON ST
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City | KERRVILLE
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State | TX
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Zip | 78028-4626
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Country | US
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Telephone | 830-890-5823
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Fax | 830-890-5824
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Provider Business Mailing Address
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Address Line | 950 JEFFERSON ST
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City | KERRVILLE
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State | TX
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Zip | 78028-4626
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Country | US
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Telephone | 830-890-5823
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Fax | 830-890-5824
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JULIANNE C HUNNICUTT
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Credential | LPC, LCDC
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Telephone | 830-890-5823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11047
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 66010
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License Number State | TX
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