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General NPI Number Information
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NPI Number | 1518309814
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Entity Type | Individual
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Provider Name | ANN-MARIE BUSICK D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2013
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 600 SUNCREST TOWN CENTRE DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-0589
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Country | US
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Telephone | 304-598-4478
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 863407
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City | ORLANDO
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State | FL
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Zip | 32886-3407
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Country | US
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Telephone | 941-917-2600
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Fax | 941-917-7884
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | OS15851
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 3012
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License Number State | WV
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