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General NPI Number Information
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NPI Number | 1710420781
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Entity Type | Individual
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Provider Name | UMA BUCHA BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 3887 OKEMOS RD SUITE A1
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City | OKEMOS
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State | MI
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Zip | 48864-3664
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Country | US
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Telephone | 517-992-5333
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Fax | 517-203-5363
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Provider Business Mailing Address
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Address Line | 3887 OKEMOS RD SUITE A1
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City | OKEMOS
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State | MI
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Zip | 48864-3664
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Country | US
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Telephone | 517-992-5333
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Fax | 517-203-5363
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-10462
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License Number State | IL
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