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I don't tend to differentiate between 'score' and 'soundtrack' so much. Generally speaking if you buy the music from a tv show it is called a 'soundtrack' whether it is an original score or a set of chosen tracks. So, for instance if you get the BSG album is is called Battlestar Galactica OST (original soundtrack) But yeah, I prefer the original scores on the whole.
And that I would absolutely consider a modern symphiny, likewise the music to Doctor Who. Murray Gold has composed a wonderful score which is meant to be played by a full orchestra.
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