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General NPI Number Information
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NPI Number | 1245164268
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Entity Type | Organization
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Legal Business Name | BUSH MEDICAL, LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 5520 PEBBLE VILLAGE LN STE 100
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7423
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Country | US
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Telephone | 317-376-8721
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Fax | 866-310-3611
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Provider Business Mailing Address
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Address Line | 5520 PEBBLE VILLAGE LN STE 100
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7423
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Country | US
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Telephone | 317-376-8721
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Fax | 866-310-3611
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Authorized Official
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Title or Position | MANAGER
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Name | MONICA E BUSH
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Credential | PA
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Telephone | 317-376-8721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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