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General NPI Number Information
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NPI Number | 1932278322
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Entity Type | Individual
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Provider Name | HEATHER M HURLBURT MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 390 TOLL GATE RD SUITE 205
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City | WARWICK
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State | RI
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Zip | 02886
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Country | US
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Telephone | 401-921-6263
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Fax | 401-921-6569
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Provider Business Mailing Address
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Address Line | 390 TOLL GATE RD SUITE 205
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City | WARWICK
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State | RI
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Zip | 02886
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Country | US
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Telephone | 401-921-6263
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Fax | 401-921-6569
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 220452
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12258
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD12258
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License Number State | RI
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