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General NPI Number Information
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NPI Number | 1558576553
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Entity Type | Individual
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Provider Name | SUSAN HUBBUCK P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5857 W 117TH PL
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City | WESTMINSTER
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State | CO
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Zip | 80020-5973
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Country | US
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Telephone | 303-883-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 5857 W 117TH PL
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City | WESTMINSTER
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State | CO
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Zip | 80020-5973
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Country | US
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Telephone | 303-466-6073
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2866
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2866
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License Number State | CO
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