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General NPI Number Information
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NPI Number | 1992836985
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Entity Type | Individual
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Provider Name | BRENDA JOYCE BUCHANAN-VEGA CNM
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 1530 S OLIVE ST
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City | LOS ANGELES
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State | CA
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Zip | 90015-3023
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Country | US
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Telephone | 213-747-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 323 N WALNUTHAVEN DR
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City | WEST COVINA
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State | CA
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Zip | 91790-1657
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Country | US
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Telephone | 626-337-5688
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NMF1432
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License Number State | CA
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