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General NPI Number Information
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NPI Number | 1831676600
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Entity Type | Organization
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Legal Business Name | HUBER REHABILITATION SERVICES
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 7127 HARFORD ROAD
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City | BALTIMORE
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State | MD
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Zip | 21234
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Country | US
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Telephone | 410-248-0257
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Fax |
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Provider Business Mailing Address
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Address Line | 7127 HARFORD ROAD
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City | BALTIMORE
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State | MD
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Zip | 21234
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Country | US
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Telephone | 410-248-0257
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. DEBROAH HUBER
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Credential | PHD, LCPC
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Telephone | 443-830-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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