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General NPI Number Information
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NPI Number | 1912300211
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Entity Type | Individual
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Provider Name | CAITLYN MARIE HUNTER PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 5815 BLAKENEY PARK DR STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28277-5732
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Country | US
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Telephone | 704-542-2220
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Fax | 704-542-3304
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Provider Business Mailing Address
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Address Line | 1072 XRAY DR SUITE B
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City | GASTONIA
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State | NC
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Zip | 28054
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Country | US
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Telephone | 704-671-1094
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Fax | 704-671-1095
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0010-09545
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2194
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-09545
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License Number State | NC
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