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General NPI Number Information
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NPI Number | 1699303743
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Entity Type | Individual
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Provider Name | TAYLOR AUSTIN BUUCK MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3800 MONTLAKE BLVD
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City | SEATTLE
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State | WA
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Zip | 98195-2531
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Country | US
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Telephone | 206-520-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 354060
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City | SEATTLE
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State | WA
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Zip | 98195-4060
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Country | US
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Telephone | 206-598-3294
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD.MD.61682107
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4351046503
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License Number State | MI
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