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General NPI Number Information
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NPI Number | 1750277257
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Entity Type | Individual
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Provider Name | MELANIE BUSKIRK BSW
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 7752 N CANTON CENTER RD
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City | CANTON
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State | MI
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Zip | 48187-1328
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Country | US
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Telephone | 800-467-7654
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Fax |
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Provider Business Mailing Address
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Address Line | 1459 GREGORY ST APT 15
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City | YPSILANTI
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State | MI
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Zip | 48197-1669
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Country | US
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Telephone | 810-289-8866
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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