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General NPI Number Information
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NPI Number | 1477354553
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Entity Type | Individual
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Provider Name | OLIVIA HUBER
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE FL 41004
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-7868
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 W 70TH ST APT 212
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City | CLEVELAND
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State | OH
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Zip | 44102-2309
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Country | US
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Telephone | 216-401-4044
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT021556
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License Number State | OH
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