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General NPI Number Information
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NPI Number | 1639061138
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Entity Type | Organization
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Legal Business Name | HUBBERT HOMES
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2242 9TH AVE
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City | OAKLAND
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State | CA
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Zip | 94606-2614
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Country | US
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Telephone | 510-221-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MOSS AVE APT 203
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City | OAKLAND
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State | CA
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Zip | 94610-1354
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BENEDICT A HUBBERT
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Credential |
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Telephone | 650-906-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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