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General NPI Number Information
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NPI Number | 1861316044
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Entity Type | Organization
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Legal Business Name | HUNSAKER DMD PLLC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 5213 W OVERLAND RD
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City | BOISE
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State | ID
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Zip | 83705-2637
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Country | US
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Telephone | 801-227-4797
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Fax |
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Provider Business Mailing Address
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Address Line | 1567 RAYDEAN DR
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City | GRANTS PASS
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State | OR
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Zip | 97527-6471
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Country | US
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Telephone | 801-227-4797
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | BROOKS HUNSAKER
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Credential | DMD
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Telephone | 801-227-4797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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