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General NPI Number Information
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NPI Number | 1780787937
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Entity Type | Individual
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Provider Name | TERESA R BUOL APRN, MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1029 NICHOLS RD STE 401
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City | OSAGE BEACH
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State | MO
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Zip | 65065
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Country | US
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Telephone | 573-302-3111
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Fax | 573-302-2869
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Provider Business Mailing Address
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Address Line | 1310 HOMM HILL CT
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City | OSAGE BEACH
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State | MO
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Zip | 65065-3537
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Country | US
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Telephone | 573-280-8382
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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 | 2015019127
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 2001014226
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License Number State | MO
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