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General NPI Number Information
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NPI Number | 1225450927
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Entity Type | Organization
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Legal Business Name | LOU ANN HUBBARD LLC
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 252 13TH AVE W
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City | GUIN
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State | AL
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Zip | 35563-2355
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Country | US
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Telephone | 205-468-3000
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Fax | 205-468-3033
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Provider Business Mailing Address
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Address Line | 252 13TH AVE W
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City | GUIN
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State | AL
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Zip | 35563-2355
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Country | US
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Telephone | 205-468-3000
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Fax | 205-468-3033
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Authorized Official
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Title or Position | OWNER
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Name | LOU ANN HUBBARD
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Credential | CRNP
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Telephone | 205-468-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-029249
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License Number State | AL
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