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General NPI Number Information
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NPI Number | 1366963431
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Entity Type | Individual
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Provider Name | KARIS BUFORD MD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 5701 BOW POINTE DR STE 250
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City | CLARKSTON
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State | MI
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Zip | 48346-5405
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Country | US
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Telephone | 248-620-6660
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Fax |
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Provider Business Mailing Address
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Address Line | 20952 E 12 MILE RD STE 200
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-3203
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Country | US
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Telephone | 586-771-4820
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Fax | 586-771-7960
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 4301514157
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License Number State | MI
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