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General NPI Number Information
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NPI Number | 1003213976
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Entity Type | Individual
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Provider Name | AMY HUBLOU LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 961 LAUREL ST 206
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City | SAN CARLOS
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State | CA
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Zip | 94070-3949
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Country | US
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Telephone | 650-218-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 747 LAKEVIEW WAY
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City | EMERALD HILLS
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State | CA
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Zip | 94062-3429
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Country | US
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Telephone | 650-218-2222
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37008
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License Number State | CA
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