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General NPI Number Information
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NPI Number | 1629337654
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Entity Type | Individual
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Provider Name | ALLISON MARIE BUCKINGHAM NP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 10 ALICE PECK DAY DR
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City | LEBANON
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State | NH
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Zip | 03766-2900
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Country | US
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Telephone | 603-448-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 912 S WOOD ST
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City | CHICAGO
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State | IL
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Zip | 60612-4300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209009533
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 101.0136538
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 111374-23
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License Number State | NH
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