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General NPI Number Information
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NPI Number | 1962995704
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Entity Type | Individual
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Provider Name | RACHEL BUSBY
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Gender | Female
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 2027 UNIVERSAL CITY BLVD
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-3440
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Country | US
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Telephone | 210-396-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 SHIN OAK DR APT 2210
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City | LIVE OAK
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State | TX
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Zip | 78233-2463
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Country | US
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Telephone | 210-396-3930
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Fax |
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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