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General NPI Number Information
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NPI Number | 1730243361
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Entity Type | Individual
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Provider Name | DAVID HUBER OD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 13943 N 91ST AVE BLDG. G
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City | PEORIA
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State | AZ
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Zip | 85381-3687
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Country | US
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Telephone | 623-561-1995
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Fax | 623-561-2446
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Provider Business Mailing Address
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Address Line | 8833 W KAREN LEE LN
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City | PEORIA
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State | AZ
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Zip | 85382-3778
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Country | US
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Telephone | 623-876-9283
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 734
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License Number State | AZ
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