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General NPI Number Information
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NPI Number | 1497065791
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Entity Type | Individual
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Provider Name | HOLLY M HUNTER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 163 SOUTH ST STE 2
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City | PITTSFIELD
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State | MA
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Zip | 01201-6875
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Country | US
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Telephone | 413-236-9100
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Fax | 413-236-9101
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Provider Business Mailing Address
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Address Line | 163 SOUTH ST STE 2
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City | PITTSFIELD
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State | MA
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Zip | 01201-6875
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Country | US
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Telephone | 413-236-9100
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Fax | 413-236-9101
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | RN171004
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN171004
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License Number State | MA
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