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General NPI Number Information
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NPI Number | 1134124290
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Entity Type | Individual
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Provider Name | DANIEL PAUL BUKOFCHAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1235 FRANKLIN AVE
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City | BROOKVILLE
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State | IN
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Zip | 47012-1037
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Country | US
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Telephone | 765-647-5332
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Fax | 765-647-6300
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Provider Business Mailing Address
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Address Line | PO BOX 387
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City | BROOKVILLE
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State | IN
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Zip | 47012-0387
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Country | US
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Telephone | 765-647-0249
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 08001533
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 08001533
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License Number State | IN
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