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General NPI Number Information
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NPI Number | 1841545209
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Entity Type | Organization
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Legal Business Name | HURLEY MEDICAL CENTER
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 1 HURLEY PLZ
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City | FLINT
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State | MI
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Zip | 48503-5902
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Country | US
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Telephone | 810-626-6426
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Fax |
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Provider Business Mailing Address
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Address Line | 4202 CEDAR BEND DR
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City | GRAND BLANC
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State | MI
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Zip | 48439-3410
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OB/GYN PROGRAM DIRECTOR
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Name | JOHN HEBERT
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Credential |
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Telephone | 810-262-6426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | 5101020080
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License Number State | MI
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