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General NPI Number Information
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NPI Number | 1225278120
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Entity Type | Organization
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Legal Business Name | HURLEY GASTROENTEROLOGY, INC.
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 1180 N. INDIAN CANYON DRIVE SUITE E318
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4809
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Country | US
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Telephone | 760-327-5300
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Fax | 760-327-5307
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Provider Business Mailing Address
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Address Line | 1180 N. INDIAN CANYON DRIVE SUITE E318
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4809
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Country | US
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Telephone | 760-327-5300
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Fax | 760-327-5307
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Authorized Official
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Title or Position | MEDICAL PRACTICE ADMINISTRATOR
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Name | ARNOLD G RIDDLE
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Credential |
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Telephone | 760-327-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G88404
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License Number State | CA
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