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General NPI Number Information
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NPI Number | 1235007543
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Entity Type | Organization
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Legal Business Name | HERMAN E. HURD, DDS, II, PA
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 715 CALVIN AVERY DR
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-6501
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Country | US
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Telephone | 870-735-3601
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6515
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City | SHERWOOD
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State | AR
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Zip | 72124-6515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MADISON PORTER
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Credential |
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Telephone | 501-683-9762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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