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General NPI Number Information
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NPI Number | 1386791283
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Entity Type | Organization
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Legal Business Name | R D BUCK MD PC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 240 HOSPITAL RD
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City | WHITESBURG
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State | KY
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Zip | 41858-7627
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Country | US
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Telephone | 606-633-3512
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 654
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City | MIDDLESBORO
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State | KY
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Zip | 40965-0654
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Country | US
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Telephone | 606-248-1320
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Fax |
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Authorized Official
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Title or Position | RADIOLGIST
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Name | DR. ROBERT D BUCK
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Credential | M.D.
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Telephone | 606-248-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 30992
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License Number State | KY
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