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General NPI Number Information
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NPI Number | 1568622884
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY PEDIATRICS, INC.
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 714 S HARBOR BLVD
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City | SANTA ANA
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State | CA
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Zip | 92704-2337
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Country | US
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Telephone | 714-775-5537
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Fax |
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Provider Business Mailing Address
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Address Line | 714 S HARBOR BLVD
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City | SANTA ANA
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State | CA
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Zip | 92704-2337
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Country | US
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Telephone | 714-775-5537
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. UYEN D.T. BUI
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Credential | M.D.
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Telephone | 714-775-5537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A66270
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License Number State | CA
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