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General NPI Number Information
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NPI Number | 1659624286
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Entity Type | Organization
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Legal Business Name | BUCKINGHAM PLACE, LLC
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 700 WOODS LN
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2177
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Country | US
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Telephone | 732-329-8954
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Fax | 732-329-9225
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Provider Business Mailing Address
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Address Line | 700 WOODS LN
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2177
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Country | US
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Telephone | 732-329-8954
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Fax | 732-329-9225
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEAN PAUL VLECIDES
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Credential |
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Telephone | 732-329-8954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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