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General NPI Number Information
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NPI Number | 1770674574
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Entity Type | Organization
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Legal Business Name | ANDREINA F HURTADO MD PA
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 302 NW 179 AVENUE SUITE 202
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City | PEMBROKE PINES
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State | FL
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Zip | 33029
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Country | US
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Telephone | 954-433-5152
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Fax |
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Provider Business Mailing Address
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Address Line | 302 NW 179 AVENUE SUITE 202
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City | PEMBROKE PINES
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State | FL
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Zip | 33029
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Country | US
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Telephone | 954-433-5152
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREINA F HURTADO
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Credential | MD
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Telephone | 954-433-5152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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