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General NPI Number Information
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NPI Number | 1568905933
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Entity Type | Organization
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Legal Business Name | NICHOLAS V BUSCEMI MSOM LAC
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 3000 CONNECTICUT AVE NW SUITE 334
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City | WASHINGTON
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State | DC
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Zip | 20008-2509
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Country | US
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Telephone | 503-962-0986
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 WASHINGTON AVE APT 201
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City | SILVER SPRING
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State | MD
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Zip | 20910-2638
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Country | US
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Telephone | 503-962-0986
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MR. NICHOLAS VINCENT BUSCEMI
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Credential | MSOM
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Telephone | 503-962-0986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC500143
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License Number State | DC
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