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General NPI Number Information
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NPI Number | 1295913580
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Entity Type | Individual
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Provider Name | LINDA ALISON BUCKLAND L.M.T
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Gender | Female
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 3101 SHIPPERS RD SUITE 204
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City | VESTAL
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State | NY
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Zip | 13850
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Country | US
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Telephone | 607-251-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 202 KETCHUM RD
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City | CONKLIN
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State | NY
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Zip | 13748
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Country | US
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Telephone | 607-251-2300
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 020935
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License Number State | NY
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