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General NPI Number Information
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NPI Number | 1093833923
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Entity Type | Individual
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Provider Name | DAVID ALLEN BUCHANAN DMD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 546 PARK ST STE 100
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City | BOWLING GREEN
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State | KY
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Zip | 42103
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Country | US
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Telephone | 270-781-3133
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Fax | 270-846-0193
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Provider Business Mailing Address
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Address Line | 546 PARK ST STE 200
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City | BOWLING GREEN
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State | KY
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Zip | 42103
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Country | US
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Telephone | 270-781-3133
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Fax | 270-846-0193
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 3668
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3668
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License Number State | KY
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