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General NPI Number Information
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NPI Number | 1427054253
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Entity Type | Individual
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Provider Name | GARY B BUCK MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 510 E LANDIS AVE
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City | VINELAND
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State | NJ
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Zip | 08360
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Country | US
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Telephone | 856-740-4888
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Fax | 856-740-0558
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Provider Business Mailing Address
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Address Line | 2007 N BLACK HORSE PIKE
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-9120
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Country | US
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Telephone | 856-740-4888
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Fax | 856-740-0559
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD-069808-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA06131600
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License Number State | NJ
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