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General NPI Number Information
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NPI Number | 1962233106
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Entity Type | Individual
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Provider Name | CLARISSA ANN BUXTON APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 3601 4TH ST
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City | LUBBOCK
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State | TX
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Zip | 79430-0002
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Country | US
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Telephone | 806-743-1501
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Fax |
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Provider Business Mailing Address
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Address Line | 692 FM 651
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City | CROSBYTON
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State | TX
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Zip | 79322-5127
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Country | US
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Telephone | 806-518-8136
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1171035
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License Number State | TX
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