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General NPI Number Information
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NPI Number | 1891734810
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Entity Type | Organization
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Legal Business Name | HAL N. BUCH, MD PC
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 117 MARYS AVE SUITE 201
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City | KINGSTON
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State | NY
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Zip | 12401-5849
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Country | US
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Telephone | 845-331-8146
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Fax | 845-331-3314
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Provider Business Mailing Address
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Address Line | 117 MARYS AVE SUITE 201
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City | KINGSTON
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State | NY
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Zip | 12401-5849
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Country | US
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Telephone | 845-331-8146
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Fax | 845-331-3314
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAL N BUCH
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Credential | MD
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Telephone | 845-331-8146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 193060
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License Number State | NY
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