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General NPI Number Information
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NPI Number | 1740793165
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Entity Type | Organization
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Legal Business Name | BUCK H WOO PHD LLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 110 HAVERHILL RD STE 501
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City | AMESBURY
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State | MA
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Zip | 01913-2131
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Country | US
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Telephone | 978-225-7766
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Fax | 888-567-7533
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Provider Business Mailing Address
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Address Line | 25 STOREY AVE STE 235
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City | NEWBURYPORT
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State | MA
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Zip | 01950-1869
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Country | US
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Telephone | 978-549-3380
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Fax | 888-567-7533
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BUCK HONG WOO
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Credential | PH.D.
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Telephone | 978-549-3380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4951
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License Number State | MA
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