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General NPI Number Information
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NPI Number | 1164427555
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Entity Type | Individual
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Provider Name | JAMES SAMUEL BUCK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 910 WALLACE AVE
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City | LEITCHFIELD
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State | KY
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Zip | 42754
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Country | US
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Telephone | 270-259-2700
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Fax | 270-259-2717
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Provider Business Mailing Address
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Address Line | 908 WALLACE AVE
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1479
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Country | US
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Telephone | 270-259-2700
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Fax | 270-259-2717
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 26600
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License Number State | KY
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