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General NPI Number Information
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NPI Number | 1609884451
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Entity Type | Organization
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Legal Business Name | BUCHBINDER DERMATOLOGY CENTER OF DEERFIELD BEACH,INC.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 2499 WEST GLADES RD SUITE 310
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City | BOCA RATON
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State | FL
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Zip | 33431-7202
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Country | US
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Telephone | 561-395-7704
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Fax | 561-395-8860
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Provider Business Mailing Address
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Address Line | 1880 A WEST HILLSBORO BLVD
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City | DEERFIELD BCH
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State | FL
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Zip | 33442
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Country | US
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Telephone | 954-426-3494
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Fax | 954-426-3484
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CHARLES A BUCHBINDER
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Credential | MD
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Telephone | 561-395-7704
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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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