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General NPI Number Information
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NPI Number | 1548251283
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Entity Type | Individual
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Provider Name | AMY M HUBER D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10320 W MCDOWELL RD
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City | AVONDALE
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State | AZ
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Zip | 85323-4863
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Country | US
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Telephone | 623-643-9233
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Fax |
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Provider Business Mailing Address
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Address Line | 16032 W GELDING DR
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City | SURPRISE
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State | AZ
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Zip | 85379-5108
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Country | US
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Telephone | 623-433-8788
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 216914
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4505
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License Number State | AZ
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