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General NPI Number Information
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NPI Number | 1225634728
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Entity Type | Individual
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Provider Name | KIRBY MEGAN BUSCA APRN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1046 MAR WALT DR # 200
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6645
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Country | US
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Telephone | 850-243-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 652 ANGIER AVE NE APT 427
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City | ATLANTA
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State | GA
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Zip | 30308-3185
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Country | US
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Telephone | 609-744-5549
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11010038
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11010038
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License Number State | FL
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