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General NPI Number Information
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NPI Number | 1841467883
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Entity Type | Individual
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Provider Name | GLENDA Y BUYO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 1806 PLANTATION LLC
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City | PLANTATION
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State | FL
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Zip | 33322
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Country | US
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Telephone | 954-474-0110
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Fax | 954-424-9859
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Provider Business Mailing Address
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Address Line | 1806 PLANTATION LLC
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City | PLANTATION
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State | FL
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Zip | 33322
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Country | US
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Telephone | 954-474-0110
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Fax | 954-424-9859
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME125015
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-435548
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License Number State | PA
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