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General NPI Number Information
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NPI Number | 1912944620
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Entity Type | Individual
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Provider Name | GERALD IRWIN BUSCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 1356 LUSITANA ST FL 4
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City | HONOLULU
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State | HI
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Zip | 96813-2409
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Country | US
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Telephone | 808-586-2900
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Fax | 808-586-2940
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Provider Business Mailing Address
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Address Line | 1356 LUSITANA ST FL 4
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City | HONOLULU
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State | HI
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Zip | 96813-2409
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Country | US
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Telephone | 808-469-4900
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Fax | 808-536-7315
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | MD-20623
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | F9260
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | MD-20623
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD-20623
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-20623
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License Number State | HI
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