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General NPI Number Information
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NPI Number | 1114636453
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Entity Type | Individual
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Provider Name | KRYSTA HUBER DC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3925 N MARTIN L KING BLVD STE 120
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-7675
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Country | US
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Telephone | 702-900-2709
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Fax |
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Provider Business Mailing Address
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Address Line | 7340 SW HUNZIKER RD STE 101
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City | TIGARD
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State | OR
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Zip | 97223-2303
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Country | US
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Telephone | 503-624-7249
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6262
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License Number State | OR
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