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General NPI Number Information
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NPI Number | 1275792509
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Entity Type | Individual
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Provider Name | KATHY BUI D.D.S
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 26745 E UNIVERSITY DRIVE STE 110
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City | AUBREY
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State | TX
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Zip | 76227
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Country | US
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Telephone | 469-715-6622
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Fax | 469-715-6608
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Provider Business Mailing Address
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Address Line | 6624 RIVERSIDE DR
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City | PLANO
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State | TX
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Zip | 75024-7422
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Country | US
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Telephone | 214-244-6287
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Fax | 469-715-6608
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23861
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License Number State | TX
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