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General NPI Number Information
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NPI Number | 1609845262
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Entity Type | Individual
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Provider Name | MARK A. HURD M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 302 W RECTOR ST # MS 54-2
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5718
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Country | US
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Telephone | 210-358-0800
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Fax | 210-358-0850
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Provider Business Mailing Address
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Address Line | PO BOX 87
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City | SAN ANTONIO
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State | TX
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Zip | 78291-0087
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Country | US
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Telephone | 210-358-9174
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Fax | 210-358-5753
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J8598
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License Number State | TX
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