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General NPI Number Information
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NPI Number | 1669479184
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Entity Type | Organization
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Legal Business Name | ROBERT L BUCKINGHAM M D INC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 115 PIRIE RD #D
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City | OJAI
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State | CA
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Zip | 93023-3100
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Country | US
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Telephone | 805-646-0104
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Fax | 805-646-9476
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Provider Business Mailing Address
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Address Line | 115 PIRIE RD #D
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City | OJAI
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State | CA
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Zip | 93023-3100
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Country | US
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Telephone | 805-646-0104
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Fax | 805-646-9476
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT L BUCKINGHAM
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Credential | M D
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Telephone | 805-646-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G39064
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License Number State | CA
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