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General NPI Number Information
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NPI Number | 1174615553
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Entity Type | Individual
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Provider Name | CHRISTINA BUKATY D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 7051 CYPRESS TERRACE SUITE 106 ROOM 101
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City | FORT MEYERS
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State | FL
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Zip | 33907
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Country | US
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Telephone | 716-545-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 21543 BELVEDERE LN
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City | ESTERO
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State | FL
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Zip | 33928-7333
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Country | US
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Telephone | 716-545-5757
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X009117-2
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH13702
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License Number State | FL
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