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General NPI Number Information
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NPI Number | 1356083117
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Entity Type | Individual
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Provider Name | LETICIA MARIE HUBER CADC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1750 W BROADWAY
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-3814
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Country | US
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Telephone | 712-435-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 E MILITARY AVE APT 1202
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City | FREMONT
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State | NE
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Zip | 68025-5488
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Country | US
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Telephone | 402-206-4550
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | T22134
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 22134
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License Number State | IA
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