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General NPI Number Information
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NPI Number | 1336063809
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Entity Type | Individual
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Provider Name | MIQUELA JO BUZZARD ED.S, NCSP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 1 EDUCATION LN
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City | POINT PLEASANT
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State | WV
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Zip | 25550-1152
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Country | US
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Telephone | 304-645-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 1 EDUCATION LN
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City | POINT PLEASANT
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State | WV
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Zip | 25550-1152
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Country | US
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Telephone | 304-645-7570
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | R5A151700293
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License Number State | WV
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