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General NPI Number Information
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NPI Number | 1225982168
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Entity Type | Individual
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Provider Name | JEFFREY BUZZELLI
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Gender | Male
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 3030 E 29TH ST STE 102
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City | BRYAN
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State | TX
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Zip | 77802-2740
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Country | US
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Telephone | 979-704-3258
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Fax |
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Provider Business Mailing Address
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Address Line | 5021 GRAYSON WAY
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City | BRYAN
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State | TX
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Zip | 77802-1484
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Country | US
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Telephone |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 81200
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License Number State | TX
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