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General NPI Number Information
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NPI Number | 1669184446
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Entity Type | Organization
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Legal Business Name | BUCKINGHAM HEIGHTS LLC
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 1824 MANCHESTER RD
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City | GLASSTONBURY
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State | CT
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Zip | 06033
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Country | US
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Telephone | 860-647-1695
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LAFAYETTE SQ. SUITE 1900
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City | BUFFALO
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State | NY
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Zip | 14203
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Country | US
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Telephone | 716-839-4000
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Fax |
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Authorized Official
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Title or Position | SUCCESSOR MANAGER
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Name | DANIEL MARK HAMISTER
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Credential |
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Telephone | 716-839-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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