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General NPI Number Information
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NPI Number | 1851184873
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Entity Type | Individual
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Provider Name | TRONG BUI L.AC
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Gender | Male
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 4675 STEVENS CREEK BLVD STE 121
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City | SANTA CLARA
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State | CA
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Zip | 95051-6763
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Country | US
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Telephone | 408-394-0288
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 CORAL CT
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City | SAN JOSE
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State | CA
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Zip | 95121-2413
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Country | US
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Telephone | 408-480-2540
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC19889
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License Number State | CA
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