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General NPI Number Information
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NPI Number | 1255503686
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Entity Type | Individual
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Provider Name | KIMBERLY KOVACK HURLEY DPM
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Gender | Female
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 1729 BURRSTONE RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-1001
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Country | US
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Telephone | 315-798-1641
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 BURRSTONE RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-1001
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Country | US
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Telephone | 315-798-1641
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC005919
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00331700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N007150
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License Number State | NY
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