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General NPI Number Information
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NPI Number | 1013758127
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Entity Type | Individual
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Provider Name | RAINEY V BUCHMAN MS, LPC-IT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1526 ROSE ST # 100
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City | LA CROSSE
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State | WI
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Zip | 54603-4500
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Country | US
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Telephone | 608-665-2719
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Fax |
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Provider Business Mailing Address
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Address Line | 313 CALEDONIA ST
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City | LA CROSSE
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State | WI
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Zip | 54603-3048
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Country | US
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Telephone | 608-440-3295
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7852226
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License Number State | WI
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