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General NPI Number Information
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NPI Number | 1659584654
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Entity Type | Individual
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Provider Name | JOHN E HUNTSINGER DDS
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 4000 CALLE TECATE STE 206
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City | CAMARILLO
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State | CA
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Zip | 93012-5286
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Country | US
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Telephone | 805-379-1989
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Fax | 805-379-1988
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Provider Business Mailing Address
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Address Line | 5434 CHERRY RIDGE DR
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City | CAMARILLO
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State | CA
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Zip | 93012-5510
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Country | US
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Telephone | 805-231-8508
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6978
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29949
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License Number State | CA
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