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General NPI Number Information
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NPI Number | 1639726391
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Entity Type | Organization
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Legal Business Name | BUCKINGHAM COUNSELING INC
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 1860 LAMPTON LN STE 1
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City | NORCO
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State | CA
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Zip | 92860-3614
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Country | US
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Telephone | 951-425-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 960 6TH ST # 101A141
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City | NORCO
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State | CA
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Zip | 92860-1472
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Country | US
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Telephone | 951-425-8459
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WENDY BUCKINGHAM
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Credential | LMFT
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Telephone | 951-425-8459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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