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General NPI Number Information
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NPI Number | 1871065979
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Entity Type | Individual
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Provider Name | HUNTER MACKENZIE OKESON PA
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Gender | Female
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Dates
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Enumeration Date | 12/30/2018
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 560 N CAMINO MERCADO STE 7
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5759
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Country | US
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Telephone | 520-836-5538
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Fax | 844-772-0049
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Provider Business Mailing Address
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Address Line | 560 N CAMINO MERCADO STE 7
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5759
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Country | US
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Telephone | 520-836-5538
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Fax | 844-772-0049
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10420
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License Number State | AZ
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