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General NPI Number Information
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NPI Number | 1265873467
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Entity Type | Organization
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Legal Business Name | HURLEY MEDICAL CENTER
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 1 HURLEY PLZ
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City | FLINT
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State | MI
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Zip | 48503-5902
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Country | US
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Telephone | 810-262-6426
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Fax |
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Provider Business Mailing Address
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Address Line | 801 TUURI PL APT: 214
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City | FLINT
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State | MI
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Zip | 48503-2481
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Country | US
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Telephone | 810-919-8986
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, DEPARTMENT OF OBSTETRICS
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Name | MR. JOHN HEBERT III
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Credential | M.D.
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Telephone | 18102626426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | 4301103764
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License Number State | MI
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