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General NPI Number Information
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NPI Number | 1942376439
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Entity Type | Individual
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Provider Name | MARGARET PEGGY BUSTO LMFC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 25283 CABOT ROAD #204
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5510
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Country | US
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Telephone | 949-858-0778
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Fax | 949-452-0022
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Provider Business Mailing Address
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Address Line | 46 VIA ANDORRA
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City | TRABUCO CANYON
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State | CA
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Zip | 92679-4100
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Country | US
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Telephone | 949-858-0778
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Fax | 949-452-0022
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MFT8577
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC8577
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License Number State | CA
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