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General NPI Number Information
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NPI Number | 1528338365
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Entity Type | Individual
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Provider Name | JAMES NATHANIEL HUNT PH.D., LPCC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 1482 S SAINT FRANCIS DR STE B
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City | SANTA FE
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State | NM
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Zip | 87505-4098
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Country | US
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Telephone | 505-670-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 VALLE RIO ST
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City | SANTA FE
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State | NM
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Zip | 87505-6127
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Country | US
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Telephone | 505-670-5207
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0140871
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License Number State | NM
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