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General NPI Number Information
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NPI Number | 1508203357
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Entity Type | Organization
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Legal Business Name | HUNTER FAMILY VISION, PA
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 8201 MISSION RD #104
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-5212
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Country | US
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Telephone | 913-381-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 8201 MISSION RD #104
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-5212
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Country | US
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Telephone | 913-381-2323
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDON K HUNTER
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Credential | OD
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Telephone | 913-381-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1621
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License Number State | KS
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