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General NPI Number Information
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NPI Number | 1902455496
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Entity Type | Individual
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Provider Name | KRISTINE HUNTER MD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 1255 LAS TABLAS RD STE 201
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City | TEMPLETON
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State | CA
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Zip | 93465-9750
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Country | US
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Telephone | 805-226-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 CALLE PATTITO
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City | TEMPLETON
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State | CA
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Zip | 93465-8343
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Country | US
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Telephone | 805-434-8685
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G85375
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License Number State | CA
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