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General NPI Number Information
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NPI Number | 1649361205
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Entity Type | Individual
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Provider Name | ANITA J HUBER D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 1420 BUS. HWY. 61 SOUTH SUITE D
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City | BOWLING GREEN
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State | MO
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Zip | 63334
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Country | US
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Telephone | 573-324-6012
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Fax | 573-324-6014
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Provider Business Mailing Address
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Address Line | 1420 BUS. HWY. 61 SOUTH SUITE D
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City | BOWLING GREEN
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State | MO
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Zip | 63334
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Country | US
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Telephone | 573-324-6012
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Fax | 573-324-6014
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2001006912
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License Number State | MO
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