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General NPI Number Information
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NPI Number | 1508730748
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Entity Type | Individual
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Provider Name | MADELEINE C HUBKA
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Gender | Female
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 7223 KENTWELL LN
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City | LINCOLN
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State | NE
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Zip | 68516-6774
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Country | US
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Telephone | 402-413-1356
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Fax | 402-413-7476
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Provider Business Mailing Address
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Address Line | 11465 S 189TH ST
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City | GRETNA
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State | NE
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Zip | 68028-3582
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Country | US
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Telephone | 402-889-9515
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 3070
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License Number State | NE
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