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General NPI Number Information
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NPI Number | 1912556689
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Entity Type | Individual
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Provider Name | MELISSA BUCHMAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 1100 CRESTLINE PLACE
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City | SEAFORD
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State | NY
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Zip | 11783-1515
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Country | US
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Telephone | 516-719-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 HEMPSTEAD TURNPIKE SUITE 110
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City | LEVITTOWN
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State | NY
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Zip | 11756
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Country | US
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Telephone | 516-321-0864
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 023388
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License Number State | NY
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