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General NPI Number Information
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NPI Number | 1558174417
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Entity Type | Organization
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Legal Business Name | TAMY B. BUCKEL, M.D., P.A.
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 100 BRAMBLE ST STE A
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City | CAMBRIDGE
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State | MD
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Zip | 21613-2471
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Country | US
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Telephone | 410-778-0003
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Fax | 410-778-4450
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Provider Business Mailing Address
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Address Line | 250 HAACKE DR
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1193
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Country | US
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Telephone | 410-778-0003
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Fax | 410-778-4450
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERYL L BISH
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Credential |
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Telephone | 410-778-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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