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General NPI Number Information
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NPI Number | 1528077138
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Entity Type | Individual
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Provider Name | MICHAEL EUGENE HUNKER ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5225 E 56TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-1403
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Country | US
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Telephone | 317-968-7361
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Fax |
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Provider Business Mailing Address
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Address Line | 12408 TRAVERSE PL
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City | FISHERS
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State | IN
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Zip | 46038-3007
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Country | US
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Telephone | 317-570-1966
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 36000245A
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License Number State | IN
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