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NPI Code Detail

MEDICARE: CLAIRE BUSLER

MEDICARE: CLAIRE BUSLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist200770AR

General Provider Information

NPI Number : 1356997258
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE BUSLER
Provider Business Mailing Address
First Line : 313 N FLETCHER AVE
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72701-1323
Country : US
Telephone Number : 708-341-5871
Fax Number :
Provider Business Practice Location Address
First Line : 847 S DOGWOOD ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-3915
Country : US
Telephone Number : 479-524-3191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 08/15/2019

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Directions to “ CLAIRE BUSLER ” Practice Location

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