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General NPI Number Information
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NPI Number | 1558534321
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Entity Type | Organization
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Legal Business Name | ROBERT DARRIN HURST DPM WEST TENNESSEE FOOT CLINIC
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 425 WAYNE RD
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City | SAVANNAH
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State | TN
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Zip | 38372-1944
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Country | US
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Telephone | 731-925-9788
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Fax | 731-925-8928
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Provider Business Mailing Address
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Address Line | 425 WAYNE RD
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City | SAVANNAH
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State | TN
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Zip | 38372-1944
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Country | US
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Telephone | 731-925-9788
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Fax | 731-925-8928
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Authorized Official
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Title or Position | PODIATRIST
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Name | ROBERT DARRIN HURST
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Credential | DPM
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Telephone | 731-925-9788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | DPM0000000565
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License Number State | TN
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