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Individual
NORMAN HUBBARD
Active
Individual
NORMAN HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 12628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PT126280
BLUE CROSS OF CALIFORNIA
CA
01
—
610626400
O.W.C.P. / US DEPT OF LAB
CA
01
—
680442103
TAX ID
CA
01
—
ZZZ41322Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/03/2006
Last updated
08/27/2010
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