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General NPI Number Information
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NPI Number | 1619127966
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Entity Type | Organization
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Legal Business Name | BRYCE J. HUNTER, D.C. P.C.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 2130 FARMINGTON AVE
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City | FARMINGTON
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State | NM
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Zip | 87401-2123
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Country | US
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Telephone | 505-326-5475
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Fax | 505-326-5476
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Provider Business Mailing Address
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Address Line | 2130 FARMINGTON AVE
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City | FARMINGTON
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State | NM
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Zip | 87401-2123
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRYCE J HUNTER
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Credential |
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Telephone | 505-326-5475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1717
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License Number State | NM
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