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General NPI Number Information
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NPI Number | 1154666725
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Entity Type | Individual
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Provider Name | MADISON HALEY BUCK DNP. DOCTOR OF NURSI
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Gender | Female
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Dates
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Enumeration Date | 12/07/2012
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 602 E. BALTIMORE PIKE OPTUM SERVE-LH1
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City | MEDIA
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State | PA
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Zip | 19063
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Country | US
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Telephone | 484-444-2834
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Fax | 484-444-2592
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Provider Business Mailing Address
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Address Line | 1430 DEKALB ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3406
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Country | US
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Telephone | 610-278-5117
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Fax | 610-278-5167
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN638577
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License Number State | PA
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