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General NPI Number Information
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NPI Number | 1689963886
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Entity Type | Individual
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Provider Name | JUDY FAYE HUNTER M.AC., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 170 W MAIN ST
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City | PURCELLVILLE
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State | VA
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Zip | 20132-3023
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Country | US
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Telephone | 571-291-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 14751 PURCELLVILLE RD
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City | PURCELLVILLE
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State | VA
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Zip | 20132-3601
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Country | US
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Telephone | 571-291-5420
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121000536
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01598
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License Number State | MD
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