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General NPI Number Information
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NPI Number | 1376909739
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Entity Type | Individual
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Provider Name | NATALIE HURD PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 325 S WILDFLOWER DR
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City | GOODYEAR
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State | AZ
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Zip | 85338-6869
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Country | US
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Telephone | 623-772-5207
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Fax | 623-772-5220
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Provider Business Mailing Address
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Address Line | 3419 W DARIEN WAY
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City | PHOENIX
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State | AZ
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Zip | 85086-2166
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Country | US
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Telephone | 623-772-5207
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4570
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3869529
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License Number State | AZ
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