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General NPI Number Information
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NPI Number | 1144272832
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Entity Type | Individual
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Provider Name | CRAIG E BUCHMANN DDS
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 1139 KELLER PKWY
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City | KELLER
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State | TX
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Zip | 76248-3614
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Country | US
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Telephone | 817-379-1654
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Fax | 817-379-1643
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Provider Business Mailing Address
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Address Line | 440 W INTERSTATE HWY 635 SUITE 445
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City | IRVING
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State | TX
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Zip | 75063-3811
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Country | US
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Telephone | 972-401-8301
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Fax | 972-444-8265
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 15699
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License Number State | TX
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