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General NPI Number Information
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NPI Number | 1619176062
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Entity Type | Individual
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Provider Name | ANGELA FAYE BUCHANAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 985 9TH AVE SW SUITE 403
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City | BESSEMER
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State | AL
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Zip | 35022-4500
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Country | US
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Telephone | 205-481-8470
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Fax | 205-481-8473
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Provider Business Mailing Address
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Address Line | 2700 10TH AVE S SUITE 305
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1200
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Country | US
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Telephone | 205-939-0139
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Fax | 205-939-4997
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 1-043503
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License Number State | AL
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