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General NPI Number Information
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NPI Number | 1255257762
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Entity Type | Individual
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Provider Name | AVERY MICHELLE HURLEY DPT
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 715 MEDICAL CENTER DR STE 300
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City | NEWTON
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State | KS
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Zip | 67114-9056
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Country | US
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Telephone | 316-283-7187
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Fax |
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Provider Business Mailing Address
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Address Line | 13500 E STROUD RD
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City | BURRTON
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State | KS
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Zip | 67020-9101
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Country | US
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Telephone | 620-960-3226
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-08193
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License Number State | KS
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