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General NPI Number Information
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NPI Number | 1972580009
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Entity Type | Individual
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Provider Name | DANIEL CHESTER BUCK D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 15 GRACELAWN RD STE 101
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City | AUBURN
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State | ME
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Zip | 04210-6347
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Country | US
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Telephone | 207-333-4710
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Fax | 207-333-4715
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Provider Business Mailing Address
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Address Line | PO BOX 95000 LBX 7650
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City | PHILADELPHIA
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State | PA
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Zip | 19195-0001
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Country | US
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Telephone |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD194
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License Number State | ME
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