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General NPI Number Information
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NPI Number | 1720427669
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Entity Type | Individual
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Provider Name | TINERA MCNAIR BUCKLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 100 GRAND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-696-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 99 E RIVER DR FL 5
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City | EAST HARTFORD
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State | CT
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Zip | 06108-7301
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Country | US
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Telephone | 860-282-4104
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 08128597
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 80960
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License Number State | CT
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