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General NPI Number Information
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NPI Number | 1265255145
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Entity Type | Individual
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Provider Name | RICK BUSEY
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Gender | Male
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 6401 PIONEER DR
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City | BALTIMORE
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State | MD
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Zip | 21214-1092
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Country | US
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Telephone | 410-638-7394
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Fax |
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Provider Business Mailing Address
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Address Line | 1065 ALEXANDRIA WAY
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City | BEL AIR
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State | MD
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Zip | 21014-2491
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 30-7607
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License Number State | MD
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