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General NPI Number Information
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NPI Number | 1073554044
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Entity Type | Individual
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Provider Name | CRAIG L HURST MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1660 WEST ANTELOPE DR #210
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City | LAYTON
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State | UT
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Zip | 84041-1165
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Country | US
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Telephone | 801-774-8714
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Fax | 801-776-8076
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Provider Business Mailing Address
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Address Line | 1660 WEST ANTELOPE DR #210
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City | LAYTON
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State | UT
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Zip | 84041-1165
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Country | US
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Telephone | 801-774-8714
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Fax | 801-776-8076
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1669951205
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License Number State | UT
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