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General NPI Number Information
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NPI Number | 1568485258
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Entity Type | Individual
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Provider Name | MARQUE A. HUNTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 3621 22ND ST. SUITE 400
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City | LUBBOCK
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State | TX
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Zip | 79410-1302
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Country | US
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Telephone | 806-791-8484
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Fax | 806-791-8498
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Provider Business Mailing Address
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Address Line | 3621 22ND ST. SUITE 400
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City | LUBBOCK
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State | TX
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Zip | 79410-1302
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Country | US
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Telephone | 806-791-8484
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Fax | 806-791-8488
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G8189
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License Number State | TX
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