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General NPI Number Information
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NPI Number | 1265601876
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Entity Type | Organization
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Legal Business Name | ROBERT DARRIN HURST DPM WEST TENNESSEE FOOT CLINIC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 129 PRATT DR
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City | CORINTH
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State | MS
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Zip | 38834-6026
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Country | US
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Telephone | 662-286-1406
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Fax | 662-286-1408
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Provider Business Mailing Address
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Address Line | 129 PRATT DR
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City | CORINTH
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State | MS
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Zip | 38834-6026
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Country | US
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Telephone | 662-286-1406
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Fax | 662-286-1408
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT DARRIN HURST
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Credential |
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Telephone | 662-286-1406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 80185
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License Number State | MS
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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 |
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License Number State |
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