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General NPI Number Information
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NPI Number | 1215087093
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Entity Type | Individual
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Provider Name | TRINH NGOC BUI M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 10402 WESTMINSTER AVE SUITE 100 C
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4861
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Country | US
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Telephone | 714-638-1358
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Fax | 714-741-0693
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Provider Business Mailing Address
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Address Line | 4925 VIA DEL CERRO
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City | YORBA LINDA
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State | CA
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Zip | 92887-2644
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Country | US
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Telephone | 714-777-1710
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A33306
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License Number State | CA
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