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General NPI Number Information
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NPI Number | 1972747657
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Entity Type | Individual
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Provider Name | KRISTEN MARIE HUBER LPC, CT
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Gender | Female
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 823 FILMORE AVE
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City | ERIE
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State | PA
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Zip | 16505
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Country | US
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Telephone | 814-315-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 823 FILMORE AVE
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City | ERIE
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State | PA
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Zip | 16505-4127
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Country | US
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Telephone | 814-392-1919
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004370
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License Number State | PA
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