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General NPI Number Information
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NPI Number | 1558051078
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Entity Type | Organization
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Legal Business Name | HUBCITY HEALTHCARE & SERVICES
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 1908 LONDONTOWNE DR
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6735
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Country | US
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Telephone | 240-938-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 LONDONTOWNE DR
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6735
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Country | US
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Telephone | 240-938-6362
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MS. PAMELA OWUSU
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Credential | CF
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Telephone | 240-938-6362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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