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General NPI Number Information
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NPI Number | 1740906452
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Entity Type | Organization
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Legal Business Name | HUNT4ABETTERU
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 20120 E JACKSON DR STE B
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City | INDEPENDENCE
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State | MO
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Zip | 64057-2153
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Country | US
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Telephone | 816-877-3185
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 SE EASTRIDGE DR
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-3440
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICAH HUNT
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Credential | PT
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Telephone | 816-877-3185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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