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General NPI Number Information
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NPI Number | 1942538897
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Entity Type | Organization
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Legal Business Name | DUNCAN L HUBBARD, MD, PC
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 2831 FORT MISSOULA RD 304
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City | MISSOULA
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State | MT
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Zip | 59804-7419
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Country | US
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Telephone | 406-721-5681
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Fax | 406-721-2661
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Provider Business Mailing Address
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Address Line | 2831 FORT MISSOULA RD 304
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City | MISSOULA
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State | MT
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Zip | 59804-7419
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Country | US
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Telephone | 406-721-5681
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Fax | 406-721-2661
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. DUNCAN LANG HUBBARD
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Credential | MD
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Telephone | 406-721-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4976
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License Number State | MT
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