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General NPI Number Information
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NPI Number | 1528246758
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Entity Type | Individual
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Provider Name | PATRICIA MARIE HURLEY DC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 10112 FAIR OAKS BLVD. SUITE #2
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City | FAIR OAKS
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State | CA
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Zip | 95628
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Country | US
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Telephone | 916-241-3696
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Fax | 530-272-8161
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Provider Business Mailing Address
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Address Line | 10112 FAIR OAKS BLVD. SUITE #2
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City | FAIR OAKS
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State | CA
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Zip | 95628
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Country | US
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Telephone | 916-241-3696
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Fax | 530-272-8161
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 23529
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License Number State | CA
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