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General NPI Number Information
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NPI Number | 1689644965
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Entity Type | Individual
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Provider Name | ANTHONY JAMES BUFO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 3001 W DR MLK BLVD
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City | TAMPA
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State | FL
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Zip | 33607-6307
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Country | US
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Telephone | 813-554-8384
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Fax |
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Provider Business Mailing Address
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Address Line | 2995 DREW ST
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-281-9065
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 62451
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 37284
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 2020042538
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | ME155630
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License Number State | FL
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