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General NPI Number Information
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NPI Number | 1164106134
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Entity Type | Organization
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Legal Business Name | JOHN BUBSER DPM PA
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 10264 SOUTHERN MARYLAND BLVD
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City | DUNKIRK
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State | MD
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Zip | 20754-3037
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Country | US
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Telephone | 410-257-3558
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Fax | 410-257-3524
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Provider Business Mailing Address
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Address Line | PO BOX 806
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City | DUNKIRK
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State | MD
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Zip | 20754-0806
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Country | US
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Telephone | 410-257-3558
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN EDWIN BUBSER
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Credential | DPM
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Telephone | 301-499-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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