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General NPI Number Information
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NPI Number | 1326656935
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Entity Type | Individual
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Provider Name | LORI BUCKLEY MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 1901 WEST ST UNIT 204
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3935
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Country | US
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Telephone | 410-758-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 WEST ST UNIT 204
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3935
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Country | US
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Telephone | 410-758-7779
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | R185850
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | R185850
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | R185850
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License Number State | MD
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