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General NPI Number Information
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NPI Number | 1487700209
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Entity Type | Individual
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Provider Name | MAI QUYNH BUI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 3811 FLORIN RD 26
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City | SACRAMENTO
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State | CA
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Zip | 95823-1800
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Country | US
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Telephone | 916-395-2000
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Fax | 916-395-4832
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Provider Business Mailing Address
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Address Line | 6880 65 TH STREET 8
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City | SACRAMENTO
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State | CA
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Zip | 95828-1264
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Country | US
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Telephone | 916-399-1888
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Fax | 916-399-9413
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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 | 34309
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License Number State | CA
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