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General NPI Number Information
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NPI Number | 1881568004
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Entity Type | Individual
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Provider Name | ANDY HUY BUI DMD
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Gender | Male
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 14411 NE FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98682-5001
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Country | US
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Telephone | 360-768-0936
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Fax |
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Provider Business Mailing Address
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Address Line | 9843 SE OVERLOOK LN
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-6972
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Country | US
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Telephone | 503-568-9271
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE70030813
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License Number State | WA
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