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Individual
VICTORIA RUTH BUCKNER
Active
Individual
VICTORIA RUTH BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-01029
NC
207R00000X
Internal Medicine Physician
Primary
34009103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14214
BCBS ID
NC
01
—
190798
MEDCOST
NC
05
—
2767439
—
OH
01
—
311446216
PRACTICE TAX ID #
OH
01
—
566000156
PRATICE TAX ID
NC
05
—
5904460
—
NC
01
—
7345780
AETNA ID
NC
01
—
7345780
AETNA
—
01
—
808057
PARTNERS MEDICARE CH
NC
01
—
P00328842
RAILROAD MEDICARE ID
NC
Enumeration date
07/25/2006
Last updated
03/07/2023
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