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General NPI Number Information
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NPI Number | 1013105774
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Entity Type | Organization
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Legal Business Name | DR JASON A BUEHLER PA
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 2066 CLASSIQUE LN
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City | TAVARES
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State | FL
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Zip | 32778-5787
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Country | US
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Telephone | 352-483-7525
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Fax | 352-483-7529
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Provider Business Mailing Address
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Address Line | 2066 CLASSIQUE LN
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City | TAVARES
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State | FL
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Zip | 32778-5787
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Country | US
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Telephone | 352-483-7525
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Fax | 352-483-7529
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON A BUEHLER
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Credential | D.C.
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Telephone | 352-483-7525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8743
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License Number State | FL
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