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General NPI Number Information
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NPI Number | 1669647574
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Entity Type | Organization
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Legal Business Name | DR. JAMES F. BUCKNER, JR
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 1300 BLUEGRASS RD
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City | FRANKLIN
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State | KY
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Zip | 42134-1981
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Country | US
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Telephone | 270-586-3937
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2804
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City | FRANKLIN
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State | KY
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Zip | 42135-2804
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Country | US
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Telephone | 270-586-3937
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TAMMY L DIGIUSEPPE
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Credential |
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Telephone | 270-586-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1148DT
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License Number State | KY
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