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General NPI Number Information
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NPI Number | 1174668768
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Entity Type | Organization
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Legal Business Name | HARRY W BUCHANAN IV MD
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 400 N 17TH ST SUITE 200
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City | ALLENTOWN
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State | PA
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Zip | 18104-5052
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Country | US
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Telephone | 610-433-2021
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Fax | 610-433-7856
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Provider Business Mailing Address
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Address Line | 400 N 17TH ST SUITE 200
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City | ALLENTOWN
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State | PA
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Zip | 18104-5052
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Country | US
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Telephone | 610-433-2021
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Fax | 610-433-7856
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARRY W BUCHANAN IV
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Credential | MD
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Telephone | 610-433-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | PA
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