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General NPI Number Information
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NPI Number | 1518155233
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Entity Type | Organization
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Legal Business Name | DAVID L BUCH MD PC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 822 PINE ST SUITE 1A
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6187
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Country | US
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Telephone | 215-629-0195
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Fax | 215-629-0341
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Provider Business Mailing Address
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Address Line | 822 PINE ST SUITE 1A
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6187
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Country | US
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Telephone | 215-629-0195
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Fax | 215-629-0341
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID L BUCH
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Credential | MD
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Telephone | 215-629-0195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | MD030827E
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License Number State | PA
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