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General NPI Number Information
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NPI Number | 1912036807
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Entity Type | Individual
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Provider Name | ENZO BUCCI RPH
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 495 NORTH 3RD STREET OXFORD MALL
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City | OXFORD
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State | PA
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Zip | 19363-1430
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Country | US
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Telephone | 610-932-5200
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Fax | 610-932-6855
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Provider Business Mailing Address
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Address Line | 10 LENAPE DR
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City | MORGANTOWN
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State | PA
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Zip | 19543-9315
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Country | US
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Telephone | 484-799-1616
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP044055L
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License Number State | PA
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