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General NPI Number Information
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NPI Number | 1174661987
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Entity Type | Organization
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Legal Business Name | MICHAEL B HURWITZ MD INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 3334 E COAST HWY SUITE 176
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2328
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Country | US
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Telephone | 949-631-4890
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Fax | 949-631-4008
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Provider Business Mailing Address
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Address Line | 1901 WESTCLIFF DRIVE SUITE 2
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5505
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Country | US
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Telephone | 949-631-4890
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Fax | 949-631-4008
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL BRUCE HURWITZ
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Credential | MD
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Telephone | 949-631-4890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A48266
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License Number State | CA
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