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General NPI Number Information
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NPI Number | 1225069164
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Entity Type | Organization
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Legal Business Name | STEVE RANDALL BUCK DO PA
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 7460 WARREN PKWY SUITE 160
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City | FRISCO
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State | TX
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Zip | 75034-4169
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Country | US
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Telephone | 972-825-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | MAYPEARL
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State | TX
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Zip | 76064-0370
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Country | US
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Telephone | 972-825-6500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVE RANDALL BUCK
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Credential | DO
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Telephone | 972-825-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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