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General NPI Number Information
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NPI Number | 1366624694
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Entity Type | Individual
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Provider Name | DONALD HENRY BUCHHOLZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 25910 W TIMBERLAKE RD
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City | BARRINGTON
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State | IL
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Zip | 60010-1435
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Country | US
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Telephone | 847-846-7536
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Fax | 847-526-7042
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Provider Business Mailing Address
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Address Line | 25910 W TIMBERLAKE RD
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City | BARRINGTON
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State | IL
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Zip | 60010-1435
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Country | US
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Telephone | 847-846-7536
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Fax | 847-526-7042
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 36-057084
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License Number State | IL
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