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General NPI Number Information
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NPI Number | 1881035301
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Entity Type | Individual
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Provider Name | KATHY LEE HURLEY PH.D, TH.D, BCBA-D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 1544 SEMINOLA BLVD SUITE 116
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City | CASSELBERRY
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State | FL
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Zip | 32701
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Country | US
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Telephone | 407-636-9814
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Fax | 407-775-5039
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Provider Business Mailing Address
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Address Line | 650 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6862
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Country | US
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Telephone | 407-975-0400
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Fax | 407-696-4831
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-3219
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7702
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License Number State | FL
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