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General NPI Number Information
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NPI Number | 1912945734
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Entity Type | Individual
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Provider Name | DALE OWEN HUNTER II D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 603 NW ATLANTIC ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-3536
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Country | US
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Telephone | 931-455-2326
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Fax | 931-455-7776
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Provider Business Mailing Address
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Address Line | 603 NW ATLANTIC ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-3536
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Country | US
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Telephone | 931-455-2326
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Fax | 931-455-7776
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2786
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License Number State | TN
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