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General NPI Number Information
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NPI Number | 1568040244
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Entity Type | Individual
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Provider Name | SUMMER NICOLE HUNTER NP
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 9448 DEAN RD
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City | FENTON
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State | MI
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Zip | 48430-9317
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Country | US
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Telephone | 248-825-7373
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Fax | 888-446-1521
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Provider Business Mailing Address
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Address Line | 1896 LIGHTHOUSE LN
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City | TRAVERSE CITY
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State | MI
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Zip | 49696-9302
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Country | US
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Telephone | 231-631-1592
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704301354
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License Number State | MI
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