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NPI 1336715010

NPI 1336715010 : ANH HUYEN BUI DDS : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1336715010
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    Entity Type          |    Individual 
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    Provider Name        |    ANH HUYEN BUI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2021
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    Last Update Date     |    06/02/2021
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Provider Practice Location Address
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    Address Line         |    7120 S PENNSYLVANIA AVE 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73159-3315
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    Country              |    US
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    Telephone            |    405-681-6601
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10028 SOUTHRIDGE TER 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73159-7322
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    Country              |    US
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    Telephone            |    405-371-2964
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    7416
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    License Number State |    OK
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