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General NPI Number Information
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NPI Number | 1194758482
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Entity Type | Individual
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Provider Name | WAYNE ALAN HURST DPM
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 601 E WHITESTONE BLVD SUITE 226
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City | CEDAR PARK
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State | TX
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Zip | 78613-9015
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Country | US
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Telephone | 512-259-3338
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Fax | 512-528-1472
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Provider Business Mailing Address
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Address Line | 601 E WHITESTONE BLVD SUITE 226
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City | CEDAR PARK
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State | TX
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Zip | 78613-9015
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Country | US
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Telephone | 512-259-3338
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Fax | 512-528-1472
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1180
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License Number State | TX
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