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General NPI Number Information
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NPI Number | 1881859304
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Entity Type | Organization
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Legal Business Name | KIKI L HURT, MD APC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 1100 S HOPE ST APT 1116
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City | LOS ANGELES
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State | CA
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Zip | 90015-2190
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Country | US
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Telephone | 562-394-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 S HOPE ST APT 1116
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City | LOS ANGELES
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State | CA
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Zip | 90015-2190
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Country | US
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Telephone | 562-394-7376
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST/ INTERNIST
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Name | DR. KIKI LOLITA HURT
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Credential | MD
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Telephone | 562-394-7376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | A96718
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License Number State | CA
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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 | A96718
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A96718
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License Number State | CA
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