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General NPI Number Information
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NPI Number | 1619318417
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Entity Type | Organization
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Legal Business Name | HURLEY MEDICAL CENTER
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 6155 SPRINGDALE BLVD
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City | GRAND BLANC
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State | MI
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Zip | 48439-8526
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Country | US
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Telephone | 949-910-3347
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Fax |
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Provider Business Mailing Address
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Address Line | 6155 SPRINGDALE BLVD
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City | GRAND BLANC
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State | MI
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Zip | 48439-8526
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIIDENT PHYSICIAN
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Name | DR. SINA ABHARI
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Credential | MD
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Telephone | 949-910-3347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | 4301103272
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License Number State | MI
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