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General NPI Number Information
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NPI Number | 1841262474
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Entity Type | Individual
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Provider Name | DONALD G HUBBARD MD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 3501 S SONCY RD SUITE 128
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City | AMARILLO
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State | TX
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Zip | 79119-6407
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Country | US
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Telephone | 806-355-5093
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Fax | 806-355-5822
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Provider Business Mailing Address
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Address Line | 7306 SW 34TH AVE STE 1 PMB 352
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City | AMARILLO
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State | TX
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Zip | 79121-1440
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Country | US
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Telephone | 806-355-5093
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Fax | 806-355-5822
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M2232
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M2232
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License Number State | TX
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