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General NPI Number Information
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NPI Number | 1013045657
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Entity Type | Organization
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Legal Business Name | MICHAEL HUNT HUBER MD PA
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 1111 W FRANK AVE STE 100
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City | LUFKIN
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State | TX
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Zip | 75904-3390
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Country | US
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Telephone | 936-639-2244
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Fax | 936-634-9334
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Provider Business Mailing Address
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Address Line | 1111 W FRANK AVE STE 100
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City | LUFKIN
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State | TX
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Zip | 75904-3390
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Country | US
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Telephone | 936-639-2244
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Fax | 936-634-9334
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL H HUBER
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Credential | M.D.
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Telephone | 936-639-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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