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General NPI Number Information
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NPI Number | 1770670317
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Entity Type | Individual
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Provider Name | JOHN EDWARD HURLEY JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 1790 TOWN PARK BLVD SUITE F
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City | UNIONTOWN
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State | OH
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Zip | 44685-7972
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Country | US
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Telephone | 330-899-9863
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 PORTAGE TRL
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-3032
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Country | US
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Telephone | 330-928-4747
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Fax | 330-230-9700
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 1567
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License Number State | OH
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