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General NPI Number Information
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NPI Number | 1407020761
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Entity Type | Individual
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Provider Name | ADAM M LUBERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | CARDIOLOGY 3333 BURNET AVE. - ML 2003
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City | CINCINNATI
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State | OH
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Zip | 45229
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Country | US
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Telephone | 513-636-4432
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Fax | 513-636-3952
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Provider Business Mailing Address
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Address Line | CARDIOLOGY 3333 BURNET AVE. - ML 2003
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City | CINCINNATI
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State | OH
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Zip | 45229
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Country | US
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Telephone | 513-636-4432
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Fax | 513-636-3952
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 35.098408
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number | 35.098408
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License Number State | OH
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