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General NPI Number Information
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NPI Number | 1467778282
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Entity Type | Organization
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Legal Business Name | THANHHA THI BUI, DDS, INC
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 3203 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-3705
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Country | US
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Telephone | 714-995-3415
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Fax | 714-995-3620
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Provider Business Mailing Address
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Address Line | 3203 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-3705
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Country | US
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Telephone | 714-995-3415
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Fax | 714-995-3620
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THANHHA THI BUI
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Credential | DDS
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Telephone | 714-995-3415
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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 | 51234
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 53579
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License Number State | CA
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