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General NPI Number Information
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NPI Number | 1700714342
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Entity Type | Organization
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Legal Business Name | PHYSICIANS HEALTHY HUB
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 4818 W US HIGHWAY 90 STE 100
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City | LAKE CITY
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State | FL
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Zip | 32055-8397
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Country | US
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Telephone | 772-485-9994
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Fax |
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Provider Business Mailing Address
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Address Line | 24115 IVORY SUNSET LN
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City | KATY
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State | TX
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Zip | 77493-3247
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Country | US
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Telephone | 772-485-9994
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES O HILL
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Credential | DO
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Telephone | 772-485-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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