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General NPI Number Information
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NPI Number | 1972652642
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Entity Type | Individual
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Provider Name | MICHAEL L. HUNT D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 1000 E JOHN ROWAN BLVD STE 101
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City | BARDSTOWN
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State | KY
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Zip | 40004-2060
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Country | US
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Telephone | 502-348-2589
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 SOUTHERN PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40214-1424
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Country | US
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Telephone | 502-366-4121
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Fax | 304-697-2504
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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 | 7225
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License Number State | KY
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