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General NPI Number Information
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NPI Number | 1083308837
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Entity Type | Individual
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Provider Name | DUY XUAN BUI DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 3775 BEACON AVE STE 100
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City | FREMONT
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State | CA
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Zip | 94538-1466
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Country | US
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Telephone | 510-791-0971
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Fax |
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Provider Business Mailing Address
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Address Line | 2059 PRAY ST
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City | FULLERTON
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State | CA
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Zip | 92833-5070
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Country | US
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Telephone | 714-507-5496
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 105809
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License Number State | CA
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