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General NPI Number Information
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NPI Number | 1225475379
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Entity Type | Individual
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Provider Name | STACEY BUSER PHD AT ATC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 600 BEAVERBROOK DR
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City | AKRON
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State | OH
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Zip | 44333-2820
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Country | US
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Telephone | 330-869-6828
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Fax |
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Provider Business Mailing Address
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Address Line | 3616 HUGHSTOWNE DR
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City | AKRON
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State | OH
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Zip | 44333-1546
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Country | US
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Telephone | 330-310-1177
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 220
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License Number State | OH
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