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General NPI Number Information
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NPI Number | 1427269984
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Entity Type | Individual
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Provider Name | HOLLY BUCHANAN
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | PO BOX 1087
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City | BUNA
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State | TX
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Zip | 77612-1087
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Country | US
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Telephone | 409-994-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 440 COUNTY ROAD 639
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City | BUNA
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State | TX
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Zip | 77612-4050
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Country | US
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Telephone | 409-377-0284
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101911
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License Number State | TX
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