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General NPI Number Information
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NPI Number | 1245516558
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Entity Type | Individual
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Provider Name | MARIA ADELAIDA HURTADO D.M.D
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Gender | Female
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 2813 KINSINGTON CIR
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City | WESTON
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State | FL
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Zip | 33332-1863
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Country | US
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Telephone | 305-321-5386
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Fax |
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Provider Business Mailing Address
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Address Line | 2813 KINSINGTON CIR
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City | WESTON
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State | FL
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Zip | 33332-1863
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Country | US
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Telephone | 305-321-5386
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 19550
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 56374
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH 19671
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License Number State | FL
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