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General NPI Number Information
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NPI Number | 1902730682
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Entity Type | Organization
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Legal Business Name | T1D HUB LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1710 E DAY RD
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City | MISHAWAKA
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State | IN
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Zip | 46545-4300
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Country | US
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Telephone | 574-213-2514
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Fax | 574-990-4399
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Provider Business Mailing Address
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Address Line | 1710 E DAY RD
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City | MISHAWAKA
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State | IN
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Zip | 46545-4300
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Country | US
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Telephone | 574-213-2514
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Fax | 574-990-4399
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN HUBER
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Credential | MD
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Telephone | 574-807-4697
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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 |
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License Number State |
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