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General NPI Number Information
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NPI Number | 1073060919
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Entity Type | Organization
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Legal Business Name | AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-MGC LLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 694 8TH ST N SUITE A
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City | NAPLES
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State | FL
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Zip | 34102-5523
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Country | US
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Telephone | 772-766-5187
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Fax | 440-551-4658
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Provider Business Mailing Address
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Address Line | PO BOX 2063
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City | JUPITER
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State | FL
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Zip | 33468-2063
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Country | US
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Telephone | 772-766-5187
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD BUSCH
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Credential | DO
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Telephone | 772-766-5187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | OS5200
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License Number State | FL
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