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General NPI Number Information
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NPI Number | 1558941070
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Entity Type | Individual
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Provider Name | AMELIA R HUBACH DO
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Gender | Female
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 10510 JEFFERSON AVE STE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3102
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Country | US
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Telephone | 540-588-6889
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Fax |
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Provider Business Mailing Address
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Address Line | 1114 WHIP O WILL LN
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City | MONTVALE
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State | VA
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Zip | 24122-2744
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Country | US
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Telephone | 540-588-6889
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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