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General NPI Number Information
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NPI Number | 1528926763
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Entity Type | Individual
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Provider Name | JAMECIA KIARA HURLEY
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 208 HASTINGS LN
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3324
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Country | US
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Telephone | 252-621-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 325A KING ST
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City | HERTFORD
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State | NC
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Zip | 27944-1358
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Country | US
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Telephone | 252-339-3548
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NC
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