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General NPI Number Information
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NPI Number | 1063450922
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Entity Type | Individual
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Provider Name | COLLEEN SOLES BUCHER RDN LDN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 503 BOWMAN GRAY DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7286
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Country | US
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Telephone | 252-816-0600
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Fax | 252-816-0721
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Provider Business Mailing Address
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Address Line | 56 SANTEE DR
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City | CHOCOWINITY
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State | NC
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Zip | 27817-8519
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Country | US
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Telephone | 252-702-4780
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 005365
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L001893
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License Number State | NC
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