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General NPI Number Information
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NPI Number | 1679667026
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Entity Type | Individual
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Provider Name | KIRSTEN G BUSWELL D.C., ARNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1615 DELAWARE ST
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City | LONGVIEW
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State | WA
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Zip | 98632-2310
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Country | US
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Telephone | 360-414-2700
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Fax | 360-414-2714
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Provider Business Mailing Address
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Address Line | 1115 SE 164TH AVE DEPT. 358
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City | VANCOUVER
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State | WA
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Zip | 98683-9324
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Country | US
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Telephone | 360-414-2000
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00034650
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60940473
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License Number State | WA
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