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General NPI Number Information
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NPI Number | 1568474559
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Entity Type | Organization
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Legal Business Name | KARL W HUBBARD, MD ORTHOPEDICS & SPORTS MEDICINE
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1140 N ROAD ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3353
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Country | US
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Telephone | 252-331-7000
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Fax | 252-331-6733
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Provider Business Mailing Address
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Address Line | 1140 N ROAD ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3353
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Country | US
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Telephone | 252-331-7000
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Fax | 252-331-6733
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ANNA M HARRELL
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Credential |
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Telephone | 252-331-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 9500291
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License Number State | NC
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