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General NPI Number Information
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NPI Number | 1225212509
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Entity Type | Individual
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Provider Name | TERESA DROST BUZZINI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2007
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Last Update Date | 12/22/2007
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Provider Practice Location Address
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Address Line | 301 ARCH ST SUITE A
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City | SUNBURY
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State | PA
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Zip | 17801-2299
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Country | US
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Telephone | 570-286-1757
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Fax |
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Provider Business Mailing Address
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Address Line | 708 BLOOM ST
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City | DANVILLE
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State | PA
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Zip | 17821-1216
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Country | US
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Telephone | 570-275-1560
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016207
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License Number State | PA
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