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General NPI Number Information
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NPI Number | 1841830841
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Entity Type | Individual
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Provider Name | KATARA ILENA HUNT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 557 SANDHURST DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4433
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Country | US
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Telephone | 910-484-8114
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Fax | 910-223-0511
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Provider Business Mailing Address
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Address Line | 7236 RENNERT RD
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City | SHANNON
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State | NC
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Zip | 28386-8720
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Country | US
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Telephone | 910-734-6740
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Fax | 910-202-4973
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5012685
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License Number State | NC
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