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General NPI Number Information
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NPI Number | 1740451327
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Entity Type | Organization
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Legal Business Name | HUNTLEY SURGICAL CONSULTING INC
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 513 N JUSTICE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4328
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Country | US
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Telephone | 828-693-1436
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Fax | 828-693-1107
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Provider Business Mailing Address
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Address Line | 513 N JUSTICE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4328
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Country | US
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Telephone | 828-693-1436
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Fax | 828-693-1107
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Authorized Official
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Title or Position | EXECUTIVE ASST.
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Name | JON E HICKMAN
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Credential |
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Telephone | 828-693-1436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 9500950
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License Number State | NC
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