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General NPI Number Information
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NPI Number | 1366094153
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Entity Type | Individual
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Provider Name | SHUYA BI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1168 CROSS CREEK DR
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City | SALTILLO
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State | MS
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Zip | 38866-5777
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Country | US
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Telephone | 662-212-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 362 CARAWAY CV
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City | MEMPHIS
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State | TN
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Zip | 38117-4003
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Country | US
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Telephone | 443-653-6700
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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 | 4452-24
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11098
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11098
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License Number State | TN
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