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General NPI Number Information
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NPI Number | 1376539569
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Entity Type | Individual
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Provider Name | MARDI ANN BUCHANAN D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 819 E 1ST ST SUITE 8
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City | SANFORD
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State | FL
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Zip | 32771-1467
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Country | US
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Telephone | 407-324-9691
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Fax | 407-688-0448
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Provider Business Mailing Address
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Address Line | 819 E 1ST ST SUITE 8
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City | SANFORD
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State | FL
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Zip | 32771-1467
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Country | US
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Telephone | 407-324-9691
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Fax | 407-688-0448
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8321
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License Number State | FL
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