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General NPI Number Information
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NPI Number | 1114912177
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Entity Type | Organization
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Legal Business Name | BUCKS ENT ASSOCIATES, P.C.
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 11/13/2012
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Provider Practice Location Address
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Address Line | 3 CORNERSTONE DR SUITE 703
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City | LANGHORNE
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State | PA
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Zip | 19047-1320
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Country | US
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Telephone | 267-689-1000
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Fax | 267-689-1008
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Provider Business Mailing Address
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Address Line | 3 CORNERSTONE DR SUITE 703
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City | LANGHORNE
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State | PA
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Zip | 19047-1320
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Country | US
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Telephone | 267-689-1000
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Fax | 267-689-1008
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Authorized Official
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Title or Position | PHYSICIAN/SURGEON
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Name | DR. BENJAMIN STEVEN CHACK
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Credential | D.O.
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Telephone | 267-689-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State | PA
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