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General NPI Number Information
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NPI Number | 1609968734
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Entity Type | Individual
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Provider Name | ALBERT WALDEMAR BUCH D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 225 E STATE ROUTE 14 STE 201
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City | COLUMBIANA
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State | OH
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Zip | 44408-8490
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Country | US
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Telephone | 234-287-6533
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Fax | 330-932-2787
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Provider Business Mailing Address
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Address Line | 100 DEBARTOLO PL STE 200
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-6095
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Country | US
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Telephone | 330-729-8146
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Fax | 330-965-5229
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.006382
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License Number State | OH
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