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General NPI Number Information
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NPI Number | 1831880590
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Entity Type | Individual
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Provider Name | JANNA LIZ TUAZON BIBAT DMD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 34 BENWOOD AVE
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City | BUFFALO
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State | NY
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Zip | 14214-1761
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Country | US
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Telephone | 716-986-9199
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Fax | 716-342-2340
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Provider Business Mailing Address
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Address Line | 91-1358 KARAYAN ST
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City | EWA BEACH
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State | HI
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Zip | 96706-1984
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Country | US
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Telephone | 808-738-7934
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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 | 064619
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License Number State | NY
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