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General NPI Number Information
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NPI Number | 1326374273
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Entity Type | Individual
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Provider Name | BRANDY BUCHANAN M. ED
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Gender | Female
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 1318 DAVIE AVE STE D
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City | STATESVILLE
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State | NC
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Zip | 28677-3565
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Country | US
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Telephone | 704-873-5399
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Fax |
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Provider Business Mailing Address
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Address Line | 1595 DAMASCUS CIR
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City | CONOVER
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State | NC
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Zip | 28613-9270
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A7769
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7769
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License Number State | NC
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