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General NPI Number Information
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NPI Number | 1477528453
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Entity Type | Organization
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Legal Business Name | TIMOTHY K BUCHANAN MD INC
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 101 COMMERCE PARK DRIVE
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City | WESTERVILLE
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State | OH
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Zip | 43082
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Country | US
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Telephone | 614-898-3006
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Fax | 614-898-3023
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | LANCASTER
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State | OH
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Zip | 43130-0550
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Country | US
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Telephone | 740-687-5164
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Fax | 740-654-1417
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY K BUCHANAN
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Credential | MD
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Telephone | 614-898-3006
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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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