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General NPI Number Information
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NPI Number | 1851070825
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Entity Type | Individual
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Provider Name | STEPHANIE BUERK
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 5880 S HOSPITAL DR
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City | GLOBE
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State | AZ
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Zip | 85501-9447
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Country | US
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Telephone | 928-425-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 295 E HUNTER DR
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City | GLOBE
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State | AZ
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Zip | 85501-1522
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Country | US
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Telephone | 814-594-6561
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 318715
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 149854
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License Number State | NC
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