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General NPI Number Information
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NPI Number | 1700260189
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Entity Type | Individual
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Provider Name | KATHRYN R. HUNTER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 1911 S NATIONAL AVE STE 301
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City | SPRINGFIELD
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State | MO
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Zip | 65804-2213
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Country | US
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Telephone | 417-886-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 505164
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City | SAINT LOUIS
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State | MO
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Zip | 63150-5164
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Country | US
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Telephone | 417-829-4620
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Fax | 417-829-4316
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2015021534
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License Number State | MO
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