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General NPI Number Information
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NPI Number | 1376691600
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Entity Type | Individual
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Provider Name | CARRIE E REIF-BUSMAN PA
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 1015 S WASHINGTON AVE
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City | SAGINAW
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State | MI
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Zip | 48601-2556
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Country | US
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Telephone | 989-754-3349
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Fax | 989-755-1365
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Provider Business Mailing Address
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Address Line | PO BOX 779
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City | TAWAS CITY
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State | MI
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Zip | 48764-0779
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Country | US
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Telephone | 989-753-8453
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Fax | 989-753-3519
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5601004876
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License Number State | MI
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