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General NPI Number Information
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NPI Number | 1588617138
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Entity Type | Organization
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Legal Business Name | BUCKINGHAM AND ASSOCIATES PC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 8202 CLEARVISTA PKWY SUITE 6A
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1400
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Country | US
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Telephone | 317-288-9942
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Fax | 317-288-9945
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Provider Business Mailing Address
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Address Line | 8202 CLEARVISTA PKWY STE 7
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1400
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Country | US
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Telephone | 317-288-9942
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Fax | 317-288-9945
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Authorized Official
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Title or Position | OWNER
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Name | DAVID MARSH BUCKINGHAM
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Credential | PHD
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Telephone | 317-288-9942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 57000069A
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License Number State | IN
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