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General NPI Number Information
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NPI Number | 1114157195
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Entity Type | Individual
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Provider Name | DENNIS ANDREW BUCK DO
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Gender | Male
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2500 E HUNT DR STE H-J
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City | SHOW LOW
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State | AZ
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Zip | 85901-7954
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Country | US
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Telephone | 928-537-6937
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Fax | 928-532-8798
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Provider Business Mailing Address
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Address Line | 2500 E HUNT DR STE H-J
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City | SHOW LOW
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State | AZ
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Zip | 85901-7954
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Country | US
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Telephone | 928-537-6937
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Fax | 928-532-8798
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 5355
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 011954
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | SL0646
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License Number State | NV
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