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General NPI Number Information
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NPI Number | 1164795357
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Entity Type | Organization
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Legal Business Name | HURLEY HEALTH SERVICES
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 1794 N LAPEER RD SUITE D
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City | LAPEER
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State | MI
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Zip | 48446-7664
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Country | US
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Telephone | 810-245-1800
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Fax | 810-969-4407
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Provider Business Mailing Address
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Address Line | 1125 S LINDEN RD SUITE 210
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City | FLINT
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State | MI
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Zip | 48532-4073
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Country | US
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Telephone | 810-262-2160
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Fax | 810-732-2232
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES BUTERAKOS
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Credential |
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Telephone | 810-262-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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