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General NPI Number Information
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NPI Number | 1669721049
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Entity Type | Individual
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Provider Name | TIFFANY LYNN BUSS CNM
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 3535 S LAFAYETTE ST #100
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3957
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Country | US
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Telephone | 303-788-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 17544 E HINSDALE PL
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City | FOXFIELD
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State | CO
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Zip | 80016-1631
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Country | US
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Telephone | 303-471-2643
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APN.0990464-CNM
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License Number State | CO
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