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Individual
RODERIC T HUNT
Active
Individual
RODERIC T HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026518002
UNIVERA
NY
01
—
000570010006
BCBSWNY
NY
05
—
01274428
—
NY
01
—
9511905
INDEPENDENT HEALTH
NY
Enumeration date
03/17/2006
Last updated
02/29/2012
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