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General NPI Number Information
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NPI Number | 1295854347
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Entity Type | Organization
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Legal Business Name | BUFFINGTON EYECARE
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1315 ALHAMBRA BLVD SUITE 310
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City | SACRAMENTO
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State | CA
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Zip | 95816-5244
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Country | US
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Telephone | 916-452-2020
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Fax | 916-452-3365
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Provider Business Mailing Address
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Address Line | 1315 ALHAMBRA BLVD SUITE 310
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City | SACRAMENTO
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State | CA
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Zip | 95816-5244
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Country | US
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Telephone | 916-452-2020
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Fax | 916-452-3365
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ROBERT DOUGLAS BUFFINGTON
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Credential | OD
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Telephone | 916-452-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5510TPA
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License Number State | CA
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