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General NPI Number Information
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NPI Number | 1427864008
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Entity Type | Individual
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Provider Name | JANET MARIE BUITRON CST, CSFA
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 601 E ALTAMONTE DR FL 32701
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4802
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Country | US
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Telephone | 407-303-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 900 CHIPPENDALE ST
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City | DELTONA
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State | FL
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Zip | 32725-5704
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Country | US
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Telephone | 239-425-5292
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 1043246
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 100278604
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License Number State | FL
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