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General NPI Number Information
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NPI Number | 1568080042
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Entity Type | Organization
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Legal Business Name | CYD DAVIS-HUBLER LLC
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 9301 INDIAN SCHOOL RD NE STE 200F
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2884
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Country | US
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Telephone | 505-308-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 4211 LOUISIANA BLVD NE APT 1121
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1842
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Country | US
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Telephone | 317-989-4579
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | CYNTHIA DAVIS-HUBLER
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Credential | LPCC
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Telephone | 317-989-4579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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