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General NPI Number Information
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NPI Number | 1205849395
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Entity Type | Individual
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Provider Name | MARY RUTH BUCHNESS MD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 279 NJ ROUTE 31
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City | WASHINGTON
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State | NJ
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Zip | 07882-4098
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Country | US
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Telephone | 484-503-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 369 MOUNTAIN VIEW RD W
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City | ASBURY
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State | NJ
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Zip | 08802-1027
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Country | US
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Telephone | 484-503-7546
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 156839
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD487467
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 25MA12458200
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License Number State | NJ
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