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General NPI Number Information
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NPI Number | 1790973725
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Entity Type | Organization
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Legal Business Name | HURLEY CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 813 OAK ST SUITE 12
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City | CONWAY
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State | AR
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Zip | 72032-4473
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Country | US
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Telephone | 501-513-3322
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Fax | 501-513-3065
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Provider Business Mailing Address
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Address Line | 2100 MEADOWLAKE ROAD SUITE 10
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City | CONWAY
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State | AR
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Zip | 72032
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Country | US
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Telephone | 501-513-3322
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Fax | 501-513-3065
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTINE A HURLEY
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Credential | DC
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Telephone | 501-513-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1340
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License Number State | AR
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