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General NPI Number Information
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NPI Number | 1942256136
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Entity Type | Individual
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Provider Name | BERNARD J. HUNT D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3615 JACK NORTHRUP AVE STE 100
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City | HAWTHORNE
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State | CA
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Zip | 90250
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1444 FLORIDA AVE SUITE 202
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City | MODESTO
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State | CA
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Zip | 95350-4400
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Country | US
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Telephone | 209-524-1264
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A6381
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License Number State | CA
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