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General NPI Number Information
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NPI Number | 1609746585
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Entity Type | Organization
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Legal Business Name | ERYN HUBER DDS
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 6809 CASCADE RD SE STE F
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6895
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Country | US
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Telephone | 616-942-9040
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Fax | 616-202-3347
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Provider Business Mailing Address
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Address Line | 6809 CASCADE RD SE STE F
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6895
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Country | US
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Telephone | 616-942-9040
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Fax | 616-202-3347
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | ERYN HUBER
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Credential | DDS
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Telephone | 734-576-3529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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