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General NPI Number Information
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NPI Number | 1316177462
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Entity Type | Individual
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Provider Name | PHONG HUY BUI MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 16055 BROOKHURST ST SUITE #C
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-839-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 8762 TAMARISK CIR
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City | WESTMINSTER
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State | CA
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Zip | 92683-6840
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Country | US
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Telephone | 714-925-9380
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A101682
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A101682
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License Number State | CA
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