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General NPI Number Information
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NPI Number | 1083970743
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Entity Type | Individual
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Provider Name | DELIANE BELONI-BUSSEY AU.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 1365A CLIFTON RD NE SUITE 2300
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-3387
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Fax |
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Provider Business Mailing Address
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Address Line | 677B ALTA PL NW
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City | ATLANTA
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State | GA
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Zip | 30318-6364
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Country | US
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Telephone | 765-228-6098
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD0003897
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License Number State | GA
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