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General NPI Number Information
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NPI Number | 1790867455
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Entity Type | Individual
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Provider Name | WILLIAM A BUCHHOLZ DDS
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5401 N UNIVERSITY DR STE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4636
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Country | US
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Telephone | 954-752-4484
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Fax | 954-752-9577
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Provider Business Mailing Address
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Address Line | 5401 N UNIVERSITY DR STE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4636
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Country | US
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Telephone | 954-752-4484
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Fax | 954-752-9577
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN5645
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License Number State | FL
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