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General NPI Number Information
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NPI Number | 1205370186
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Entity Type | Individual
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Provider Name | APRIL BUSCH PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 1000 NW 32ND ST
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City | NEWCASTLE
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State | OK
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Zip | 73065-6334
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Country | US
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Telephone | 405-387-9325
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7252
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City | MOORE
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State | OK
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Zip | 73153-1252
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Country | US
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Telephone | 405-317-5251
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 2685
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License Number State | OK
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