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General NPI Number Information
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NPI Number | 1942309802
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Entity Type | Organization
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Legal Business Name | POCONO MEDICAL CARE INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 303 W HARFORD ST
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City | MILFORD
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State | PA
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Zip | 18337-1116
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Country | US
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Telephone | 570-296-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 303 W HARFORD ST
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City | MILFORD
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State | PA
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Zip | 18337-1116
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Country | US
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Telephone | 570-296-4000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD E. BUCKLEY
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Credential | M.D.
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Telephone | 570-296-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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