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General NPI Number Information
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NPI Number | 1588951321
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Entity Type | Individual
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Provider Name | MOSAES BUCHANAN RN, CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 1400 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1138
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Country | US
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Telephone | 718-918-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 22417 KINGSBURY AVE # B
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3626
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Country | US
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Telephone | 347-554-7789
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Fax | 718-465-0323
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 575242
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 575242
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 575242
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 157824
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 575242
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License Number State | NY
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