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NPI 1780992644

NPI 1780992644 : DANIEL HUNT II R.PH. : DELAND, FL

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General NPI Number Information
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    NPI Number           |    1780992644
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL HUNT II R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/14/2010
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    Last Update Date     |    09/14/2010
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Provider Practice Location Address
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    Address Line         |    2160 ANCHOR AVE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32720-2382
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    Country              |    US
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    Telephone            |    386-736-6615
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    Fax                  |    386-736-1890
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Provider Business Mailing Address
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    Address Line         |    2160 ANCHOR AVENUE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32720
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    Country              |    US
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    Telephone            |    386-736-6615
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    Fax                  |    386-736-1890
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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        |    173000000X
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    Taxonomy Name        |    Legal Medicine
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    License Number       |    429340
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RPH011321
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    32803
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PS0014527
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    License Number State |    FL
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