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General NPI Number Information
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NPI Number | 1518489939
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Entity Type | Individual
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Provider Name | WILLIAM J. HUNTER RPH
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Gender | Male
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/07/2017
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Provider Practice Location Address
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Address Line | 23 N BRIDGE ST
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City | SAINT ANTHONY
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State | ID
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Zip | 83445-2110
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Country | US
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Telephone | 208-624-3202
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Fax | 208-624-3202
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Provider Business Mailing Address
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Address Line | 23 N BRIDGE ST
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City | SAINT ANTHONY
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State | ID
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Zip | 83445-2110
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Country | US
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Telephone | 208-624-3202
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Fax | 208-624-3760
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45401RP
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License Number State | ID
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