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General NPI Number Information
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NPI Number | 1497007934
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Entity Type | Individual
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Provider Name | CHARISSE ANN BUCHERT CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3755 S CAPITAL OF TEXAS HWY STE 160
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City | AUSTIN
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State | TX
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Zip | 78704-6645
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Country | US
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Telephone | 512-439-1000
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Fax | 512-439-1081
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Provider Business Mailing Address
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Address Line | 4700 SETON CENTER PARKWAY SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78759
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Country | US
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Telephone | 512-439-1000
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Fax | 512-439-1081
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP121764
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License Number State | TX
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