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General NPI Number Information
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NPI Number | 1922643691
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Entity Type | Individual
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Provider Name | CARMEN SPLAND BUFFINGTON PSYD, LSSP, HSP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 17030 NANES DR STE 201
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City | HOUSTON
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State | TX
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Zip | 77090-2504
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Country | US
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Telephone | 281-415-1280
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Fax | 281-271-8927
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Provider Business Mailing Address
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Address Line | 1530 GREENSMARK DR UNIT 672302
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City | HOUSTON
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State | TX
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Zip | 77067-4019
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Country | US
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Telephone | 346-888-7386
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 37903
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37903
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License Number State | TX
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