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General NPI Number Information
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NPI Number | 1922327097
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Entity Type | Individual
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Provider Name | KAREEM HUBBARD MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 04/08/2017
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Provider Practice Location Address
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Address Line | 15035 E 14TH ST
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City | SAN LEANDRO
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State | CA
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Zip | 94578-1901
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Country | US
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Telephone | 202-279-1473
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 FAIRMONT DR SUITE A #532
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City | SAN LEANDRO
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State | CA
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Zip | 94578-3548
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Country | US
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Telephone | 510-278-0226
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A128252
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License Number State | CA
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