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General NPI Number Information
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NPI Number | 1801099262
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Entity Type | Individual
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Provider Name | TRACEY LYNNE BUCKINGHAM D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 8656 BROOK GLEN LN
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-2743
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Country | US
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Telephone | 714-390-2432
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Fax |
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Provider Business Mailing Address
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Address Line | 108 NEWBOLD ST
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City | LINCOLNTON
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State | NC
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Zip | 28092-3906
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Country | US
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Telephone | 704-735-8226
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Fax | 704-735-8280
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3472
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 28368
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License Number State | CA
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