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General NPI Number Information
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NPI Number | 1740819994
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Entity Type | Organization
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Legal Business Name | HUNTER OCCUPATIONAL SOLUTION
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 4311 ANDREWS HWY.
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City | MIDLAND
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State | TX
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Zip | 79703
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Country | US
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Telephone | 469-720-3981
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Fax | 432-888-9239
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Provider Business Mailing Address
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Address Line | P.O. BOX 870368
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City | MESQUITE
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State | TX
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Zip | 75187
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Country | US
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Telephone | 469-720-3981
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Fax | 432-888-9239
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KEVIN MANNIX
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Credential | PHYSICAL THERAPY
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Telephone | 432-552-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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