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General NPI Number Information
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NPI Number | 1538497367
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Entity Type | Individual
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Provider Name | DUY BUI
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Gender | Male
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 1910 W BRAKER LN 2
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City | AUSTIN
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State | TX
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Zip | 78758-4024
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Country | US
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Telephone | 512-837-0819
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Fax |
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Provider Business Mailing Address
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Address Line | 4412 DESTINYS GATE DR
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City | AUSTIN
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State | TX
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Zip | 78727-2621
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Country | US
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Telephone | 781-354-5635
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45788
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License Number State | TX
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