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General NPI Number Information
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NPI Number | 1962525048
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Entity Type | Individual
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Provider Name | JOAN M LUSBY PA
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 912 WASHINGTON RD HUNTER PROFESSIONAL CENTER
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City | WESTMINSTER
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State | MD
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Zip | 21157-5827
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Country | US
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Telephone | 410-795-1888
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Fax | 410-795-3538
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Provider Business Mailing Address
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Address Line | 2973 MANCHESTER RD HUNTER PROFESSIONAL CENTER
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City | MANCHESTER
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State | MD
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Zip | 21102-1802
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Country | US
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Telephone | 410-374-4747
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Fax | 443-507-0003
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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