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General NPI Number Information
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NPI Number | 1528124294
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Entity Type | Individual
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Provider Name | AMY LAURA HUBERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 1501 SULGRAVE AVE SUITE 202
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City | BALTIMORE
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State | MD
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Zip | 21209-3654
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Country | US
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Telephone | 443-823-0675
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Fax | 443-957-9477
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Provider Business Mailing Address
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Address Line | 1501 SULGRAVE AVE SUITE 202
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City | BALTIMORE
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State | MD
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Zip | 21209-3654
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Country | US
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Telephone | 443-823-0675
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Fax | 443-957-9477
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D68271
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License Number State | MD
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