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General NPI Number Information
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NPI Number | 1003187006
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Entity Type | Organization
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Legal Business Name | KATHLEEN HURWITZ M.D. INC.
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 25395 HANCOCK AVE SUITE 250
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City | MURRIETA
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State | CA
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Zip | 92562-9054
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Country | US
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Telephone | 951-698-0300
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Fax | 951-698-3719
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Provider Business Mailing Address
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Address Line | 25395 HANCOCK AVE SUITE 250
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City | MURRIETA
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State | CA
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Zip | 92562-9054
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Country | US
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Telephone | 951-698-0300
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Fax | 951-698-3719
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Authorized Official
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Title or Position | BILLER
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Name | MS. SUSAN FORD
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Credential |
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Telephone | 951-694-6102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G61204
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License Number State | CA
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