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General NPI Number Information
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NPI Number | 1326544347
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Entity Type | Individual
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Provider Name | WILLIAM TYSON BUIS
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Gender | Male
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2340 CLAY ST FL 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1932
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Country | US
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Telephone | 415-600-0151
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Fax | 415-366-7559
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone | 866-681-0738
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Fax | 916-854-6769
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95011275
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License Number State | CA
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