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General NPI Number Information
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NPI Number | 1609607506
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Entity Type | Individual
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Provider Name | SEAN PATRICK HURLBURT DPT
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Gender | Male
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 5660 N ADRIAN HWY
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City | ADRIAN
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State | MI
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Zip | 49221-8318
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Country | US
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Telephone | 517-577-0293
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Fax |
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Provider Business Mailing Address
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Address Line | 363 HUNTINGTON DR
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City | SALINE
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State | MI
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Zip | 48176-8870
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Country | US
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Telephone | 847-644-6525
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501302971
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License Number State | MI
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