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NPI 1700026655

NPI 1700026655 : RICHARD OWEN HUNT PHARM D : DONALSONVILLE, GA

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General NPI Number Information
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    NPI Number           |    1700026655
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD OWEN HUNT PHARM D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/04/2009
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    Last Update Date     |    03/04/2009
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Provider Practice Location Address
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    Address Line         |    803 N WILEY AVE 
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    City                 |    DONALSONVILLE
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    State                |    GA
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    Zip                  |    39845-1121
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    Country              |    US
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    Telephone            |    229-524-2313
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    Fax                  |    229-524-1202
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Provider Business Mailing Address
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    Address Line         |    5602 SPOONER RD 
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    City                 |    IRON CITY
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    State                |    GA
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    Zip                  |    39859-3522
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    Country              |    US
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    Telephone            |    229-524-5259
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    Fax                  |    229-524-5259
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RPH024128
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    License Number State |    GA
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