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General NPI Number Information
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NPI Number | 1376255661
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Entity Type | Individual
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Provider Name | JOSHUA BUSH RN
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Gender | Male
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 273 MOCKINGBIRD CIR
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City | LEXINGTON
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State | SC
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Zip | 29073-7709
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Country | US
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Telephone | 910-616-2241
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Fax | 866-918-4457
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Provider Business Mailing Address
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Address Line | 273 MOCKINGBIRD CIR
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City | LEXINGTON
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State | SC
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Zip | 29073-7709
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Country | US
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Telephone | 910-616-2241
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Fax | 866-918-4457
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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 | 232518
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 232518
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | 232518
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 232518
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 232518
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License Number State | SC
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