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General NPI Number Information
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NPI Number | 1275782393
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Entity Type | Individual
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Provider Name | PAMELA A BUSS RN
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Gender | Female
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 221 E BLUFF ST
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City | CASSVILLE
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State | WI
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Zip | 53806
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Country | US
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Telephone | 608-725-5091
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 308 221 EAST BLUFF STREET
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City | CASSVILLE
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State | WI
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Zip | 53806-0308
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Country | US
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Telephone | 608-725-5091
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 165186-030
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 307841-031
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License Number State | WI
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