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General NPI Number Information
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NPI Number | 1659978609
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Entity Type | Individual
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Provider Name | DAVID PRICE BUCK
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Gender | Male
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 231 HERLONG AVENUE SUITE 101
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City | ROCK HILL
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State | SC
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Zip | 29732
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Country | US
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Telephone | 808-464-9726
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Fax |
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Provider Business Mailing Address
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Address Line | 4015 CRAFT ST APT 4214
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City | CHARLOTTE
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State | NC
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Zip | 28217-1681
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Country | US
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Telephone | 808-464-9726
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3053
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016379
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.26071
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License Number State | SC
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