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General NPI Number Information
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NPI Number | 1932039757
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Entity Type | Individual
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Provider Name | LYNDON BLAKE HUNDLEY RN
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Gender | Male
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Dates
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Enumeration Date | 05/22/2026
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Last Update Date | 05/22/2026
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Provider Practice Location Address
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Address Line | PO BOX 10878
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City | SAN BERNARDINO
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State | CA
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Zip | 92423-0878
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Country | US
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Telephone | 999-999-9999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10878
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City | SAN BERNARDINO
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State | CA
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Zip | 92423-0878
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95199824
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 95199824
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License Number State | CA
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