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General NPI Number Information
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NPI Number | 1689721375
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Entity Type | Individual
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Provider Name | CARLA HUNTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 18510 MEYERS RD
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City | DETROIT
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State | MI
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Zip | 48235-1307
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Country | US
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Telephone | 313-474-3040
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Fax | 313-474-4101
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Provider Business Mailing Address
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Address Line | 17599 COYLE ST
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City | DETROIT
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State | MI
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Zip | 48235-2824
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Country | US
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Telephone | 313-617-7915
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301076030
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License Number State | MI
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