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NPI 1598973786

NPI 1598973786 : FORREST SYLVAN BUHLER DMD : SPANISH FORK, UT

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General NPI Number Information
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    NPI Number           |    1598973786
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    Entity Type          |    Individual 
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    Provider Name        |    FORREST SYLVAN BUHLER DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/19/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    63 E 800 N 
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    City                 |    SPANISH FORK
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    State                |    UT
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    Zip                  |    84660-1210
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    Country              |    US
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    Telephone            |    801-794-9905
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    Fax                  |    801-794-2149
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Provider Business Mailing Address
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    Address Line         |    63 E 800 N 
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    City                 |    SPANISH FORK
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    State                |    UT
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    Zip                  |    84660-1210
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    Country              |    US
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    Telephone            |    801-794-9905
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    Fax                  |    801-794-2149
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    374420-9922
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    License Number State |    UT
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