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General NPI Number Information
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NPI Number | 1790407005
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Entity Type | Organization
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Legal Business Name | BUSH CAREER INSTITUTE
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 606 ORIOLE BLVD STE 206
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City | DUNCANVILLE
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State | TX
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Zip | 75116-3500
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Country | US
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Telephone | 972-861-2013
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Fax | 214-889-8499
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Provider Business Mailing Address
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Address Line | 606 ORIOLE BLVD STE 206
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City | DUNCANVILLE
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State | TX
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Zip | 75116-3500
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Country | US
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Telephone | 972-861-2013
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Fax | 214-889-8499
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Authorized Official
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Title or Position | DIRECTOR
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Name | KALETHIA BUSH
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Credential | LPN
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Telephone | 972-861-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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