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General NPI Number Information
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NPI Number | 1528124773
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Entity Type | Individual
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Provider Name | DAVID ALLEN HUBBELL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 3805 MAIN ST SUITE 114
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City | THE COLONY
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State | TX
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Zip | 75056-2836
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Country | US
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Telephone | 972-624-0068
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Fax | 972-624-8066
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Provider Business Mailing Address
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Address Line | 3805 MAIN ST STE 114
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City | THE COLONY
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State | TX
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Zip | 75056-2836
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Country | US
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Telephone | 972-624-0068
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Fax | 972-624-8066
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16146
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License Number State | TX
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