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General NPI Number Information
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NPI Number | 1477251148
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Entity Type | Individual
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Provider Name | HUNTER HARRIS PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 9509 N BEACH ST STE 101
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City | FORT WORTH
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State | TX
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Zip | 76244-6399
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Country | US
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Telephone | 817-741-4347
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Fax | 817-741-4483
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD
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City | NASHVILLE
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State | TN
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Zip | 37215-6187
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Country | US
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Telephone | 615-665-1283
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16718
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License Number State | TX
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