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General NPI Number Information
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NPI Number | 1770890469
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Entity Type | Organization
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Legal Business Name | MARY MARGARET HURLEY, M.D., P.C.
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 7514 CORPORATE CENTER DR
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City | GERMANTOWN
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State | TN
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Zip | 38138-3877
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Country | US
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Telephone | 901-757-5333
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Fax | 901-757-9233
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Provider Business Mailing Address
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Address Line | 7514 CORPORATE CENTER DR
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City | GERMANTOWN
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State | TN
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Zip | 38138-3877
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Country | US
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Telephone | 901-757-5333
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Fax | 901-757-9233
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Authorized Official
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Title or Position | OWNER
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Name | MARY M HURLEY
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Credential | M.D.
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Telephone | 901-757-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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