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General NPI Number Information
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NPI Number | 1699178459
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER BUSH DPM, PLLC
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 130 CENTRAL AVE SUITE LL7
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City | DOVER
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State | NH
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Zip | 03820-4042
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Country | US
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Telephone | 603-929-9119
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Fax | 603-379-2047
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Provider Business Mailing Address
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Address Line | 130 CENTRAL AVE SUITE LL7
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City | DOVER
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State | NH
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Zip | 03820-4042
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Country | US
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Telephone | 603-929-9119
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Fax | 603-379-2047
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. CHRISTOPHER ANDREW BUSH
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Credential | D.P.M.
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Telephone | 603-929-9119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0295
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License Number State | NH
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