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General NPI Number Information
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NPI Number | 1720360639
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Entity Type | Organization
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Legal Business Name | HUBER NATURAL HEALTH, LLC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 289 MAIN ST
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City | SALEM
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State | NH
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Zip | 03079-2731
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Country | US
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Telephone | 603-890-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 289 MAIN ST
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City | SALEM
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State | NH
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Zip | 03079-2731
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Country | US
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Telephone | 603-890-9900
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LUKE HUBER
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Credential |
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Telephone | 603-890-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 047935-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACP 074
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 85
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 3214 M
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 3179M
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License Number State | NH
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Taxonomy #6
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 24
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License Number State | NH
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