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General NPI Number Information
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NPI Number | 1609691864
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Entity Type | Individual
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Provider Name | HUNTER BOTKIN
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Gender | Male
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2001 WOODMONT BLVD
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City | NASHVILLE
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State | TN
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Zip | 37215-1588
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Country | US
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Telephone | 951-809-5154
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Fax |
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Provider Business Mailing Address
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Address Line | 3341 PENN MEADE WAY
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City | NASHVILLE
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State | TN
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Zip | 37214-1176
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Country | US
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Telephone | 951-809-5154
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 16108
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License Number State | TN
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