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General NPI Number Information
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NPI Number | 1730333105
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Entity Type | Individual
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Provider Name | ADRIANA HURTADO DDS
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Gender | Female
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 27155 CHERRY LAUREL PL
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-3819
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Country | US
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Telephone | 661-857-2315
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Fax | 818-920-0180
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Provider Business Mailing Address
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Address Line | 27155 CHERRY LAUREL PL
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-3819
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Country | US
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Telephone | 661-857-2315
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Fax | 818-920-0180
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 57445
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License Number State | CA
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