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General NPI Number Information
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NPI Number | 1710450937
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Entity Type | Individual
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Provider Name | ERIC HUNT RPH
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Gender | Male
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 777 MAIN ST
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City | HARTFORD
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State | CT
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Zip | 06103-2308
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Country | US
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Telephone | 860-244-9424
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Fax | 860-244-9321
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Provider Business Mailing Address
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Address Line | 112 BLUFF POINT RD
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City | SOUTH GLASTONBURY
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State | CT
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Zip | 06073-3134
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Country | US
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Telephone | 860-335-5722
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Fax | 860-244-9321
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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 | 8803
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License Number State | CT
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