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General NPI Number Information
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NPI Number | 1144839622
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Entity Type | Individual
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Provider Name | RYAN ALEXANDER BUDA DDS
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Gender | Male
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 3401 ROYAL VISTA BLVD STE A100
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City | ROUND ROCK
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State | TX
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Zip | 78681-1151
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Country | US
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Telephone | 512-909-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 12520 SOMBRA FUERTE DR
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City | EL PASO
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State | TX
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Zip | 79938-4488
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Country | US
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Telephone | 915-319-1579
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 36423
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License Number State | TX
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