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General NPI Number Information
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NPI Number | 1386961324
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Entity Type | Organization
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Legal Business Name | JAGJIT BHUI
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 9300 NE VANCOUVER MALL DR SUITE# 100
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City | VANCOUVER
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State | WA
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Zip | 98662-8201
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Country | US
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Telephone | 360-695-5555
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Fax | 360-253-6437
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Provider Business Mailing Address
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Address Line | 9300 NE VANCOUVER MALL DR SUITE# 100
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City | VANCOUVER
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State | WA
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Zip | 98662-8201
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Country | US
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Telephone | 360-695-5555
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Fax | 360-253-6437
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JAGJIT S BHUI
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Credential | DMD
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Telephone | 13602209117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | WA
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