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General NPI Number Information
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NPI Number | 1124216296
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Entity Type | Individual
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Provider Name | HOPE VICTORIA BUSSENIUS R.N, M.N, F.N.P-C
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Gender | Female
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Dates
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Enumeration Date | 10/13/2007
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Last Update Date | 10/13/2007
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Provider Practice Location Address
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Address Line | 657 ATHENS ST
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City | JEFFERSON
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State | GA
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Zip | 30549-1474
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Country | US
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Telephone | 706-367-7302
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Fax |
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Provider Business Mailing Address
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Address Line | 718 BUCK TRL
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City | HOSCHTON
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State | GA
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Zip | 30548-2189
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Country | US
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Telephone | 706-367-7302
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R100015
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R100015
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R100015
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R100015
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License Number State | GA
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