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General NPI Number Information
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NPI Number | 1134226756
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Entity Type | Individual
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Provider Name | JOHN BUZAS RNFA
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 642 WEST ST
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City | AMHERST
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State | OH
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Zip | 44001-2359
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Country | US
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Telephone | 440-988-9006
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 179637
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License Number State | OH
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