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General NPI Number Information
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NPI Number | 1053452854
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Entity Type | Organization
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Legal Business Name | NORMAN H BUCHMAN & ASSOC PC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 1899 N WESTWOOD BLVD SUITE C ROOM 187
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-2833
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Country | US
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Telephone | 978-335-8344
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Fax |
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Provider Business Mailing Address
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Address Line | 1899 N WESTWOOD BLVD SUITE C ROOM 187
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-2833
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Country | US
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Telephone | 978-335-8344
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | NORMAN H BUCHMAN
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Credential | DPM
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Telephone | 978-335-8344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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