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General NPI Number Information
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NPI Number | 1609507045
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Entity Type | Individual
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Provider Name | BRADLEY BUENING NP
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Gender | Male
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 8106 BOOSTER DR STE 1
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City | MARIA STEIN
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State | OH
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Zip | 45860-9814
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Country | US
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Telephone | 419-925-7177
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Fax | 567-316-2025
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Provider Business Mailing Address
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Address Line | 830 W MAIN ST
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City | COLDWATER
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State | OH
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Zip | 45828-1657
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0031637
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License Number State | OH
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