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General NPI Number Information
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NPI Number | 1952459992
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Entity Type | Individual
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Provider Name | BENJAMIN T. BUSFIELD MD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1808 SAN MIGUEL DR
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City | WALNUT CREEK
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State | CA
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Zip | 94596-8606
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Country | US
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Telephone | 925-528-2663
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Fax | 925-522-8874
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Provider Business Mailing Address
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Address Line | 1808 SAN MIGUEL DR
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City | WALNUT CREEK
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State | CA
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Zip | 94596-8606
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Country | US
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Telephone | 925-528-2663
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Fax | 925-522-8874
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A82241
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License Number State | CA
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