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General NPI Number Information
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NPI Number | 1487914180
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Entity Type | Organization
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Legal Business Name | RAU VAN BUI,MD
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 27 S 13TH ST
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City | SAN JOSE
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State | CA
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Zip | 95112-2022
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Country | US
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Telephone | 408-298-6706
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Fax | 408-971-2696
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Provider Business Mailing Address
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Address Line | 27 S 13TH ST
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City | SAN JOSE
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State | CA
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Zip | 95112-2022
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Country | US
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Telephone | 408-298-6706
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Fax | 408-971-2696
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RAU VAN BUI
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Credential | MD
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Telephone | 409-298-6706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A35749
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License Number State | CA
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