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General NPI Number Information
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NPI Number | 1881691426
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Entity Type | Individual
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Provider Name | MICHELLE BUFFALINI CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 606 S 4TH AVE
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City | BRIGHTON
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State | CO
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Zip | 80601-3202
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Country | US
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Telephone | 720-263-1384
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Fax | 724-765-2264
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Provider Business Mailing Address
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Address Line | 14590 BARKSDALY WAY
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City | KEENESBURG
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State | CO
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Zip | 80643-4249
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Country | US
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Telephone | 720-263-1384
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Fax | 724-765-2264
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP007848
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0994768-NP
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License Number State | CO
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