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General NPI Number Information
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NPI Number | 1265864680
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Entity Type | Individual
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Provider Name | CAREY D HURT APRN
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 200 N PLUM ST
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City | MOLINE
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State | KS
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Zip | 67353-9510
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Country | US
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Telephone | 620-647-8109
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Fax | 620-647-3638
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Provider Business Mailing Address
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Address Line | 200 N PLUM ST P.O. BOX 155
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City | MOLINE
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State | KS
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Zip | 67353-9510
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Country | US
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Telephone | 620-647-8109
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Fax | 620-647-3638
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-76097-072
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License Number State | KS
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