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General NPI Number Information
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NPI Number | 1346831625
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Entity Type | Organization
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Legal Business Name | BUCHMANN BIOMEDICAL IMAGING LLC
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 3450 BRIDGELAND DR STE F
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City | BRIDGETON
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State | MO
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Zip | 63044-2605
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Country | US
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Telephone | 314-972-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 10626 DEERPATH ACRES CT
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2526
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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 | MANAGER
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Name | DR. NEESHA BUCHMANN
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Credential | DO
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Telephone | 608-769-2704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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