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General NPI Number Information
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NPI Number | 1366599375
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Entity Type | Organization
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Legal Business Name | HUBER MEDICAL LLC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 60 N CANFIELD NILES RD STE 500
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2338
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Country | US
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Telephone | 330-629-9500
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Fax | 330-259-0326
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Provider Business Mailing Address
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Address Line | 60 N CANFIELD NILES RD STE 500
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2338
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Country | US
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Telephone | 330-629-9500
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Fax | 330-259-0326
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. KELLY ANN PITZULO
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Credential |
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Telephone | 330-629-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 15-048251
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License Number State | OH
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