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General NPI Number Information
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NPI Number | 1386678647
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Entity Type | Individual
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Provider Name | DONALD CHARLES BUCKLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 4030 SMITH RD SUITE 300
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City | CINCINNATI
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State | OH
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Zip | 45209-1957
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Country | US
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Telephone | 513-421-3494
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Fax | 513-345-2606
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Provider Business Mailing Address
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Address Line | 4030 SMITH RD SUITE 300
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City | CINCINNATI
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State | OH
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Zip | 45209-1957
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Country | US
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Telephone | 513-421-3494
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Fax | 513-345-2606
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35050437B
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 36934
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 35050437B
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 36934
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License Number State | KY
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