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General NPI Number Information
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NPI Number | 1205882891
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Entity Type | Organization
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Legal Business Name | VICTORIA BABUSHKINA, MD, PC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 385 SERPENTINE DR SUITE B
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City | SPARTANBURG
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State | SC
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Zip | 29303-3018
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Country | US
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Telephone | 864-560-7079
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Fax | 864-560-7082
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Provider Business Mailing Address
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Address Line | 385 SERPENTINE DR SUITE B
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City | SPARTANBURG
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State | SC
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Zip | 29303-3018
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Country | US
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Telephone | 864-560-7079
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Fax | 864-560-7082
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTORIA BABUSHKINA
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Credential | M.D.
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Telephone | 864-560-7079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21033
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License Number State | SC
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