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General NPI Number Information
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NPI Number | 1669939336
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Entity Type | Individual
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Provider Name | JOHN MORGAN BUIE DDS
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Gender | Male
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 4420 E HIGHWAY 287
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5576
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Country | US
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Telephone | 214-817-8612
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 MCALPIN RD
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5798
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Country | US
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Telephone | 817-235-2021
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 33044
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License Number State | TX
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