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NPI 1720205164

NPI 1720205164 : NANCY HUNTER HOSTERMAN P.T. : HICKORY, NC

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General NPI Number Information
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    NPI Number           |    1720205164
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY HUNTER HOSTERMAN P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/19/2007
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    Last Update Date     |    09/13/2007
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Provider Practice Location Address
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    Address Line         |    420 N CENTER ST 
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    City                 |    HICKORY
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    State                |    NC
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    Zip                  |    28601-5046
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    Country              |    US
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    Telephone            |    828-315-3407
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1940 12TH STREET PL NE 
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    City                 |    HICKORY
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    State                |    NC
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    Zip                  |    28601-1649
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    Country              |    US
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    Telephone            |    828-323-1252
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5987
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    2251C2600X
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    Taxonomy Name        |    Cardiopulmonary Physical Therapist
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    License Number       |    5987
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    5987
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    5987
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    License Number State |    NC
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