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General NPI Number Information
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NPI Number | 1982973707
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Entity Type | Individual
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Provider Name | ASHURA BUCKLEY MD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 10 CENTER DRIVE, MSC 1255 BUILDING 10, ROOM IC250
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City | BETHESDA
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State | MD
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Zip | 20892
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Country | US
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Telephone | 301-435-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CENTER DRIVE BUILDING 10, ROOM IC250
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 301-435-6650
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | D0063849
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | D0063849
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License Number State | MD
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