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General NPI Number Information
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NPI Number | 1205779998
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Entity Type | Organization
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Legal Business Name | PAT HURT LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 4118 S DEMAREE ST
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City | VISALIA
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State | CA
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Zip | 93277-9514
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Country | US
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Telephone | 559-372-7758
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Fax | 559-372-7758
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Provider Business Mailing Address
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Address Line | 100 N AKERS STREET 7596
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City | VISALIA
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State | CA
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Zip | 93291-5121
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Country | US
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Telephone | 559-372-7758
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Fax | 559-372-7758
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Authorized Official
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Title or Position | EXECUTOR
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Name | PAT HURT
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Credential | LCSW
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Telephone | 559-372-7758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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