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General NPI Number Information
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NPI Number | 1528144359
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Entity Type | Individual
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Provider Name | FAITH BRIANNE BUCHANAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 101 MANNING DR. BMT CLINIC, 2ND FLOOR, CANCER HOSPITAL
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City | CHAPEL HILL
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State | NC
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Zip | 27514
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Country | US
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Telephone | 984-974-8349
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Fax | 984-974-8786
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Provider Business Mailing Address
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Address Line | 101 MANNING DR BLDG 2
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4423
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Country | US
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Telephone | 984-974-8349
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Fax | 984-974-8349
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-00628
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License Number State | NC
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