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General NPI Number Information
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NPI Number | 1205030962
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Entity Type | Individual
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Provider Name | NATHAN BUKUTS D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 4883 DRESSLER RD NW STE 100
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City | CANTON
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State | OH
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Zip | 44718-3665
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Country | US
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Telephone | 330-479-9193
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Fax | 330-479-9165
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Provider Business Mailing Address
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Address Line | 3684 DRESSLER RD NW STE B
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City | CANTON
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State | OH
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Zip | 44718-2781
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Country | US
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Telephone | 330-479-9193
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Fax | 330-479-9165
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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 | 3806
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License Number State | OH
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