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General NPI Number Information
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NPI Number | 1972952703
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Entity Type | Individual
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Provider Name | BENJAMIN NEIL HUNTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 2450 NE MARY ROSE PL STE 120
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City | BEND
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State | OR
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Zip | 97701-7132
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Country | US
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Telephone | 541-312-7056
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Fax | 541-385-4935
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Provider Business Mailing Address
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Address Line | 2450 NE MARY ROSE PL STE 120
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City | BEND
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State | OR
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Zip | 97701-7132
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Country | US
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Telephone | 541-382-3100
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Fax | 541-385-4935
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD219874
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License Number State | OR
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