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General NPI Number Information
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NPI Number | 1417984915
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Entity Type | Individual
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Provider Name | ANGELA D HUBER MPT
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 607 VANDALIA RD SUITE 400
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City | COLLINSVILLE
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State | IL
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Zip | 62234
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Country | US
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Telephone | 618-346-1920
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Fax | 618-346-5448
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Provider Business Mailing Address
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Address Line | PO BOX 3497
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City | STURTEVANT
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State | WI
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Zip | 53177-0300
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Country | US
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Telephone | 877-552-2996
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Fax | 866-245-8064
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | IL
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