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General NPI Number Information
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NPI Number | 1952200776
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Entity Type | Individual
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Provider Name | ANNA BUCK
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Gender | Female
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 223 WATER COUNTRY PKWY
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5827
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Country | US
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Telephone | 757-755-4149
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Fax | 757-282-2989
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Provider Business Mailing Address
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Address Line | 115 EVERGREEN WAY
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-1407
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Country | US
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Telephone | 757-621-5171
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Fax | 757-282-2989
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0701017136
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License Number State | VA
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