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General NPI Number Information
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NPI Number | 1487782124
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Entity Type | Individual
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Provider Name | WAYNE PHILIP HUNT ED.D., ABPP
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 1111 PARK AVE SUITE 110
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City | BALTIMORE
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State | MD
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Zip | 21201-5656
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Country | US
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Telephone | 410-523-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 900 OLD BARN RD
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City | PARKTON
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State | MD
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Zip | 21120-9421
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Country | US
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Telephone | 410-523-8900
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1806
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License Number State | MD
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