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General NPI Number Information
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NPI Number | 1639159122
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Entity Type | Individual
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Provider Name | WILLIAM DWIGHT BUSER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 10200 W 105TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66212-5750
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Country | US
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Telephone | 913-495-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 13133 REEDS ST
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City | OVERLAND PARK
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State | KS
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Zip | 66209-1904
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0419970
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License Number State | KS
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