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General NPI Number Information
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NPI Number | 1295871283
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Entity Type | Individual
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Provider Name | MARK E. BUCHER CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 2001 CRADDUCK RD
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City | ADA
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State | OK
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Zip | 74820-9400
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Country | US
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Telephone | 405-514-4786
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Fax | 405-758-5354
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Provider Business Mailing Address
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Address Line | 9300 COUNTY ROAD 3500
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City | ADA
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State | OK
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Zip | 74820-3597
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Country | US
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Telephone | 505-862-3682
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R0069871
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License Number State | OK
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