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General NPI Number Information
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NPI Number | 1760487797
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Entity Type | Individual
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Provider Name | CAMILLE M BUONOCORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 2000 OXFORD DR SUITE 200
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City | BETHEL PARK
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State | PA
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Zip | 15102-1827
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Country | US
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Telephone | 412-942-2140
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Fax | 412-942-6027
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Provider Business Mailing Address
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Address Line | PO BOX 3445
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City | PITTSBURGH
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State | PA
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Zip | 15230-3445
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Country | US
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Telephone | 412-937-8887
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Fax | 412-937-9221
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD044291E
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License Number State | MO
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