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General NPI Number Information
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NPI Number | 1245461292
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Entity Type | Individual
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Provider Name | STEPHANIE T BUI D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1101 31ST ST STE 170
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5581
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD STE 201
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City | TAMPA
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State | FL
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Zip | 33624-1893
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 5101018212
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | CDR0006203
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | W2614
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 036.178140
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | CDR0006203
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | W2614
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 012077
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License Number State | AZ
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Taxonomy #8
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036.178140
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 012077
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License Number State | AZ
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Taxonomy #10
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 5101018212
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License Number State | MI
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