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General NPI Number Information
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NPI Number | 1962961094
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Entity Type | Individual
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Provider Name | MATTHEW HURD PHD, DDS
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Gender | Male
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 450 FOLSOM ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-3172
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Country | US
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Telephone | 310-868-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 450 FOLSOM ST APT 1702
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-3373
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Country | US
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Telephone | 310-868-4488
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Fax |
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | DDS104217
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License Number State | CA
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