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General NPI Number Information
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NPI Number | 1639997273
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Entity Type | Individual
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Provider Name | VICTORIA BUFORD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3039 VAUGHN RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-2731
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Country | US
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Telephone | 334-513-7819
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 1ST AVE N UNIT 3
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City | BIRMINGHAM
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State | AL
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Zip | 35203-1866
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Country | US
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Telephone | 205-545-5088
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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 | 1-176762
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License Number State | AL
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