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General NPI Number Information
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NPI Number | 1265536783
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Entity Type | Organization
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Legal Business Name | DANIEL J BUCKLEY, MD, INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 1800 SULLIVAN AVE RM 410
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City | DALY CITY
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State | CA
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Zip | 94015-2224
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Country | US
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Telephone | 650-991-9007
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Fax | 650-991-0882
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Provider Business Mailing Address
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Address Line | 1800 SULLIVAN AVE RM 410
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City | DALY CITY
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State | CA
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Zip | 94015-2224
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Country | US
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Telephone | 650-991-9007
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Fax | 650-991-0882
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DANIEL J BUCKLEY
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Credential | M.D.
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Telephone | 650-991-9007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G62652
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License Number State | CA
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