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General NPI Number Information
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NPI Number | 1821903436
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Entity Type | Individual
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Provider Name | AMELIAH ROSE HUBERT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 11401 BLUEGRASS PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40299-2349
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Country | US
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Telephone | 188-851-5179
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Fax |
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Provider Business Mailing Address
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Address Line | 302 N JAMES ST
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City | STEELEVILLE
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State | IL
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Zip | 62288-1429
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Country | US
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Telephone | 618-317-0163
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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