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General NPI Number Information
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NPI Number | 1215257928
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Entity Type | Organization
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Legal Business Name | DRS. BUSBY & WEBB II, P.A.
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 1424 FERN CREEK DR C
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City | STATESVILLE
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State | NC
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Zip | 28625-9376
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Country | US
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Telephone | 704-414-0925
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Fax |
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Provider Business Mailing Address
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Address Line | 203 MOCKSVILLE AVE A
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City | SALISBURY
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State | NC
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Zip | 28144-3359
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Country | US
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Telephone | 704-637-9363
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Fax | 704-637-9353
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. KATHERINE WEBB MENEES
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Credential |
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Telephone | 704-414-0925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6889
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6957
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License Number State | NC
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