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General NPI Number Information
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NPI Number | 1689887929
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Entity Type | Individual
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Provider Name | DANA BRAD HUNTER M.D., MPH
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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 | 11/07/2019
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Provider Practice Location Address
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Address Line | 888 SWIFT BLVD
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City | RICHLAND
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State | WA
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Zip | 99352-3514
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Country | US
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Telephone | 509-946-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 11990 SW CORBY DR #10
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City | PORTLAND
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State | OR
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Zip | 97225-5915
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Country | US
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Telephone | 413-977-1420
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 13670
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD28973
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 6316
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD601082274
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License Number State | WA
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