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General NPI Number Information
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NPI Number | 1902996184
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Entity Type | Individual
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Provider Name | GLORIA M BUCKWALTER DDS
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1357 KENDALL DR SUITE 10
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-4118
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Country | US
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Telephone | 909-473-1788
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Fax | 909-825-3606
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Provider Business Mailing Address
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Address Line | 1400 MOHAVE DR
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City | COLTON
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State | CA
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Zip | 92324-4810
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Country | US
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Telephone | 909-825-3606
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 38652
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License Number State | CA
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