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General NPI Number Information
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NPI Number | 1669692158
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Entity Type | Individual
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Provider Name | DAWN MICHELLE BUCHANAN RN, MSN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 1050 W 10TH ST SUITE 350
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City | ROLLA
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State | MO
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Zip | 65401-2905
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Country | US
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Telephone | 573-458-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 W 10TH ST SUITE 350
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City | ROLLA
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State | MO
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Zip | 65401-2905
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Country | US
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Telephone | 573-458-3350
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | SD-RN R034321
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SD-CNP CP000610
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2012035664
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2004008434
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License Number State | MO
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