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General NPI Number Information
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NPI Number | 1871816744
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Entity Type | Organization
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Legal Business Name | STEVEN HUNTER MD LLC
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 641 FARMINGTON AVE
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City | BRISTOL
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State | CT
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Zip | 06010-3953
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Country | US
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Telephone | 860-585-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 641 FARMINGTON AVE
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City | BRISTOL
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State | CT
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Zip | 06010-3953
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Country | US
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Telephone | 860-585-0000
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Fax |
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. STEVEN HUNTER
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Credential | MD LLC
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Telephone | 860-585-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 021479
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License Number State | CT
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