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General NPI Number Information
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NPI Number | 1952377236
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Entity Type | Individual
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Provider Name | TIMOTHY ALAN HURSH M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 469 HIGHWAY 50
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City | GILLETTE
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State | WY
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Zip | 82718-9330
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Country | US
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Telephone | 307-387-9850
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Fax | 307-387-9890
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Provider Business Mailing Address
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Address Line | 469 HIGHWAY 50
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City | GILLETTE
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State | WY
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Zip | 82718-9330
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Country | US
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Telephone | 307-387-9850
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Fax | 307-387-9890
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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 | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | 16947
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | N1684
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | TL8631
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License Number State | WY
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