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General NPI Number Information
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NPI Number | 1912291691
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Entity Type | Organization
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Legal Business Name | JAMES G BUFFINGTON
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 104 E BOND AVE
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3108
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Country | US
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Telephone | 870-735-8222
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Fax | 870-735-0190
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Provider Business Mailing Address
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Address Line | 104 E BOND AVE
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3108
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Country | US
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Telephone | 870-735-8222
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Fax | 870-735-0190
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JAMS G BUFFINGTON
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Credential | DDS
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Telephone | 870-735-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3141
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 1734
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License Number State | AR
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