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General NPI Number Information
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NPI Number | 1134357650
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Entity Type | Individual
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Provider Name | TAM BUI D.O
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 32114 1ST AVE S STE 202
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5760
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Country | US
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Telephone | 206-841-5358
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Fax |
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Provider Business Mailing Address
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Address Line | 32114 1ST AVE S STE 202
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5760
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Country | US
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Telephone | 206-841-5358
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 61364721
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 821
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 61364721
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License Number State | WA
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