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General NPI Number Information
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NPI Number | 1558991505
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Entity Type | Individual
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Provider Name | MS. CLAUDRA JO HUBBARD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 12623 SKYVIEW CREEK CT
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City | HOUSTON
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State | TX
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Zip | 77047-6527
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Country | US
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Telephone | 713-385-6966
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Fax | 832-767-0536
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Provider Business Mailing Address
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Address Line | 12623 SKYVIEW CREEK CT
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City | HOUSTON
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State | TX
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Zip | 77047-6527
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Country | US
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Telephone | 713-385-6966
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Fax | 832-767-0536
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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