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General NPI Number Information
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NPI Number | 1356412266
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Entity Type | Individual
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Provider Name | ARTHUR K. HUBERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 604 ROSE AVE
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City | VENICE
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State | CA
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Zip | 90291-2767
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Country | US
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Telephone | 310-392-8636
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Fax |
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Provider Business Mailing Address
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Address Line | 10490 WILSHIRE BLVD APT 1103
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City | LOS ANGELES
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State | CA
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Zip | 90024-4648
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Country | US
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Telephone | 310-968-1668
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | G41781
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License Number State | CA
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