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General NPI Number Information
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NPI Number | 1780618173
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Entity Type | Individual
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Provider Name | THANHHA THI BUI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 12079 EUCLID ST
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City | GARDEN GROVE
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State | CA
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Zip | 92840-3332
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Country | US
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Telephone | 714-534-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 3203 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-3705
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Country | US
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Telephone | 714-995-3415
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 53579
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License Number State | CA
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