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General NPI Number Information
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NPI Number | 1396752580
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Entity Type | Individual
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Provider Name | RITA HURT CLINICAL PSYCHOLOGIS
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 150 DOWLER RD STE B
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City | BEAUMONT
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State | TX
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Zip | 77706
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Country | US
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Telephone | 409-866-5002
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Fax | 409-866-1390
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Provider Business Mailing Address
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Address Line | 150 DOWLEN RD STE B
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City | BEAUMONT
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State | TX
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Zip | 77706-6085
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Country | US
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Telephone | 409-866-5002
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Fax | 409-866-1390
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34832
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License Number State | TX
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