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General NPI Number Information
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NPI Number | 1063857811
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Entity Type | Organization
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Legal Business Name | JENNIFER B BUCK MD PA
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 324 SCOTLAND ST
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City | DUNEDIN
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State | FL
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Zip | 34698-6971
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Country | US
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Telephone | 727-789-5711
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Fax | 727-789-4098
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Provider Business Mailing Address
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Address Line | 324 SCOTLAND ST
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City | DUNEDIN
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State | FL
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Zip | 34698-6971
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Country | US
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Telephone | 727-789-5711
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Fax | 727-789-4098
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER B BUCK
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Credential | MD
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Telephone | 727-789-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME74284
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License Number State | FL
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