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General NPI Number Information
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NPI Number | 1427033802
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Entity Type | Organization
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Legal Business Name | BUCKINGHAM FAMILY MEDICINE
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 4897 YORK ROAD POST OFFICE BOX 278
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City | BUCKINGHAM
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State | PA
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Zip | 18912
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Country | US
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Telephone | 215-794-7471
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Fax | 215-794-2576
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Provider Business Mailing Address
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Address Line | 4897 YORK ROAD POST OFFICE BOX 278
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City | BUCKINGHAM
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State | PA
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Zip | 18912
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Country | US
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Telephone | 215-794-7471
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Fax | 215-794-2576
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARY JANE GRANDE
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Credential |
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Telephone | 215-794-7471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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