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General NPI Number Information
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NPI Number | 1821143306
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Entity Type | Individual
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Provider Name | DIANE S. HUNT M.C.A.T.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 2401 PENNSYLVANIA AVE. SUITE 1C-51
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City | PHILADELPHIA
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State | PA
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Zip | 19130-7723
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Country | US
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Telephone | 215-232-0179
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Fax | 215-991-9098
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Provider Business Mailing Address
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Address Line | 3001 MIDVALE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1027
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Country | US
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Telephone | 215-991-6703
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Fax | 215-991-9098
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC000658
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License Number State | PA
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