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General NPI Number Information
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NPI Number | 1134490261
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Entity Type | Individual
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Provider Name | LORI A BUSS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 3309 S KINGSHIGHWAY BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63139-1101
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Country | US
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Telephone | 314-657-9007
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Fax | 314-206-3604
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Provider Business Mailing Address
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Address Line | 5141 KENNET DR
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City | COLUMBIA
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State | IL
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Zip | 62236-3471
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Country | US
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Telephone | 618-920-9532
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 45159
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 045159
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License Number State | MO
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