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General NPI Number Information
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NPI Number | 1982395588
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Entity Type | Individual
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Provider Name | JENNIFER HUNT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 6053 ARTESIAN CIR STE C
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City | OOLTEWAH
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State | TN
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Zip | 37363-7315
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Country | US
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Telephone | 423-490-7546
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 264
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City | ALTAMONT
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State | TN
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Zip | 37301-0264
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Country | US
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Telephone | 931-841-2033
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 29531
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License Number State | TN
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