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General NPI Number Information
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NPI Number | 1649764192
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Entity Type | Individual
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Provider Name | EMILY LYNN HUNT
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 195 BLACKBERRY RD
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City | LIVERPOOL
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State | NY
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Zip | 13090-3047
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Country | US
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Telephone | 315-453-0261
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Fax |
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Provider Business Mailing Address
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Address Line | 496 GRIFFIN RD
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City | MOHAWK
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State | NY
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Zip | 13407-4223
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Country | US
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Telephone | 315-868-6738
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 027875
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License Number State | NY
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