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General NPI Number Information
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NPI Number | 1245483684
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Entity Type | Organization
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Legal Business Name | DENISE L. HURST, MD,PC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 6153 FULLER CT
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2541
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Country | US
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Telephone | 703-342-4688
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Fax | 703-924-1114
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Provider Business Mailing Address
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Address Line | 6153 FULLER CT
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2541
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Country | US
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Telephone | 703-342-4688
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Fax | 703-924-1114
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Authorized Official
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Title or Position | OWNER
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Name | DENISE HURST
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Credential | MD
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Telephone | 703-342-4688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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