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General NPI Number Information
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NPI Number | 1407989692
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Entity Type | Individual
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Provider Name | SCOTT E. BUSBY COTA/L
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1000 S MAIN ST
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City | FLORENCE
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State | AZ
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Zip | 85132-8132
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Country | US
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Telephone | 520-866-3519
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Fax | 520-868-0798
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Provider Business Mailing Address
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Address Line | 7570 E CAMINO DEL RIO
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City | TUCSON
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State | AZ
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Zip | 85715-3552
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Country | US
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Telephone | 520-360-0715
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 1712
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 4447
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License Number State | AZ
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