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General NPI Number Information
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NPI Number | 1982682282
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Entity Type | Individual
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Provider Name | VIRGINIA L. HURLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 2317 EXECUTIVE CIR PERSONALIZED THERAPY, INC.
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City | GREENVILLE
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State | NC
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Zip | 27834-3762
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Country | US
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Telephone | 252-353-4968
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Fax | 252-353-4967
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Provider Business Mailing Address
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Address Line | 104 BAYTREE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-6107
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Country | US
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Telephone | 252-258-1944
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Fax | 252-353-4967
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | C000663
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License Number State | NC
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