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General NPI Number Information
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NPI Number | 1447262639
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Entity Type | Individual
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Provider Name | HANNA G LUBBOS MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 201 W ARKANSAS ST
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City | LEESVILLE
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State | LA
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Zip | 71446-4752
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Country | US
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Telephone | 337-239-7227
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Fax | 337-238-4299
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Provider Business Mailing Address
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Address Line | PO BOX 780 201 WEST ARKANSAS ST
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City | LEESVILLE
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State | LA
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Zip | 71496-0780
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Country | US
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Telephone | 337-239-7227
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Fax | 337-238-4299
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 11793R
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License Number State | LA
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