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General NPI Number Information
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NPI Number | 1619187184
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Entity Type | Individual
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Provider Name | LINDSEY ANN BUSWELL-CLEARY D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 420 W NORTH ST
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City | JUNEAU
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State | WI
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Zip | 53039-1165
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Country | US
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Telephone | 920-386-8101
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Fax | 920-386-8109
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Provider Business Mailing Address
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Address Line | 420 W NORTH ST
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City | JUNEAU
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State | WI
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Zip | 53039-1165
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Country | US
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Telephone | 920-386-8101
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Fax | 920-386-8109
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.117396
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53878-21
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License Number State | WI
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