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General NPI Number Information
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NPI Number | 1336388529
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Entity Type | Organization
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Legal Business Name | CLIFFORD J HURLEY D.O., LLC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 2211 LYELL AVE SUITE 101
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City | ROCHESTER
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State | NY
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Zip | 14606-5743
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Country | US
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Telephone | 585-426-0530
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Fax | 525-426-9574
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Provider Business Mailing Address
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Address Line | 2211 LYELL AVE SUITE 101
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City | ROCHESTER
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State | NY
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Zip | 14606-5743
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Country | US
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Telephone | 585-426-0530
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Fax | 525-426-9574
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CLIFFORD J HURLEY
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Credential | D.O.
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Telephone | 585-426-0530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 186228
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 186228
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License Number State | NY
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