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General NPI Number Information
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NPI Number | 1558302497
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Entity Type | Organization
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Legal Business Name | HURLEY HEALTH SERVICES
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4272 W VIENNA RD
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City | CLIO
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State | MI
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Zip | 48420-9454
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Country | US
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Telephone | 810-687-2850
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Fax | 810-687-9359
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Provider Business Mailing Address
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Address Line | 1125 S LINDEN RD SUITE 210
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City | FLINT
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State | MI
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Zip | 48532-4073
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Country | US
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Telephone | 810-262-2160
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Fax | 810-732-2232
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES BUTERAKOS
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Credential |
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Telephone | 810-262-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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