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General NPI Number Information
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NPI Number | 1952264327
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Entity Type | Individual
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Provider Name | ADAM BUCK PMHNP
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Gender | Male
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1980 E WOODSMALL DR
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4937
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Country | US
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Telephone | 812-298-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 115 S 13TH 1/2 ST
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City | TERRE HAUTE
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State | IN
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Zip | 47807-3917
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Country | US
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Telephone | 915-487-4393
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 28267016A
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License Number State | IN
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