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General NPI Number Information
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NPI Number | 1194477158
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Entity Type | Individual
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Provider Name | HEATHER MAUREEN BUCHEL
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Gender | Female
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 1225 S LATSON RD
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City | HOWELL
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State | MI
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Zip | 48843-7643
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Country | US
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Telephone | 810-227-2767
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Fax |
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Provider Business Mailing Address
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Address Line | 264 EDGEMONT DR
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City | HOWELL
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State | MI
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Zip | 48855-9779
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Country | US
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Telephone | 517-518-2613
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 470431995
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704319995
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704319995
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License Number State | MI
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