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General NPI Number Information
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NPI Number | 1619682689
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Entity Type | Individual
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Provider Name | JENNA HUNTER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 100 AZALEA DR
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City | OXFORD
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State | MS
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Zip | 38655-7372
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Country | US
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Telephone | 662-234-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 439 LIVE OAK DR
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City | OXFORD
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State | MS
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Zip | 38655-2962
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Country | US
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Telephone | 662-380-2391
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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 | PT-7081
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License Number State | MS
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