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General NPI Number Information
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NPI Number | 1639246143
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Entity Type | Organization
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Legal Business Name | BUCKNER CHILDREN & FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 9055 MANION DR
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City | BEAUMONT
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State | TX
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Zip | 77706-3856
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Country | US
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Telephone | 409-866-0976
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Fax | 409-866-8190
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Provider Business Mailing Address
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Address Line | 9055 MANION DR
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City | BEAUMONT
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State | TX
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Zip | 77706-3856
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Country | US
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Telephone | 409-866-0976
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Fax | 409-866-8190
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Authorized Official
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Title or Position | ADMINISTRATIVE SUPPORT - AP
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Name | MRS. KIMBERLY DENISE MARKS
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Credential |
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Telephone | 409-866-0976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1339329
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License Number State | TX
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