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General NPI Number Information
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NPI Number | 1275853657
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Entity Type | Individual
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Provider Name | MICHAEL GEORGE BUSCHER JR. DO
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Gender | Male
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 3471 5TH AVE KAUFMANN BUILDING (LSK), SUITE 1215
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City | PITTSBURGH
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State | PA
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Zip | 15213-3215
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Country | US
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Telephone | 404-550-2165
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Fax |
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Provider Business Mailing Address
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Address Line | 267 GRANT ST BRIDGEPORT HOSPITAL
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2805
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 054228
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 054228
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License Number State | CT
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