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General NPI Number Information
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NPI Number | 1275966475
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Entity Type | Organization
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Legal Business Name | DONALD HUBBARD M.D.,PA
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 3501 S SONCY RD SUITE 128
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City | AMARILLO
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State | TX
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Zip | 79119-6407
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Country | US
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Telephone | 806-355-5093
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Fax | 806-355-5822
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Provider Business Mailing Address
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Address Line | 7306 SW 34TH AVE STE 1 PMB 352
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City | AMARILLO
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State | TX
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Zip | 79121-1440
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Country | US
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Telephone | 806-756-7795
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Fax | 806-355-5093
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DONALD GLEN HUBBARD
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Credential | MD
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Telephone | 806-355-5093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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