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General NPI Number Information
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NPI Number | 1720459605
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Entity Type | Individual
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Provider Name | MARIA ELIZABETH BUCHANAN PA
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Gender | Female
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Dates
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Enumeration Date | 10/17/2015
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 55 PINNACLE POINT DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-5015
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Country | US
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Telephone | 937-886-5777
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Fax | 937-886-5774
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Provider Business Mailing Address
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Address Line | PO BOX 643398
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City | CINCINNATI
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State | OH
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Zip | 45264-3398
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Country | US
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Telephone | 513-221-1100
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Fax | 513-684-4501
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.005076RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.005076RX
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License Number State | OH
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