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General NPI Number Information
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NPI Number | 1427034552
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Entity Type | Individual
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Provider Name | DONNA JEAN BUCHANAN PMHNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 450 S WILLARD ST SUITE 115
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City | COTTONWOOD
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State | AZ
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Zip | 86326-6743
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Country | US
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Telephone | 928-634-5551
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Fax | 928-634-5604
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Provider Business Mailing Address
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Address Line | 450 S WILLARD ST SUITE 115
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City | COTTONWOOD
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State | AZ
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Zip | 86326-6743
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Country | US
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Telephone | 928-634-5551
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Fax | 928-634-5604
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP8776
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP7273
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | MSL0001166078VA
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License Number State | VA
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