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General NPI Number Information
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NPI Number | 1982301644
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Entity Type | Individual
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Provider Name | DARLA J. BUFFA APRN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 999 N CURTIS RD STE 415
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City | BOISE
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State | ID
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Zip | 83706-1334
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Country | US
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Telephone | 208-302-2600
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Fax | 208-302-2625
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Provider Business Mailing Address
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Address Line | 144 WINGED ELM CIR
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City | AIKEN
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State | SC
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Zip | 29803-2731
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Country | US
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Telephone | 802-353-5131
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26520
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 78111
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License Number State | ID
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