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General NPI Number Information
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NPI Number | 1932382736
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Entity Type | Organization
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Legal Business Name | DR. KHANH BUI, O.D., P.C.
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 1013 E CAPITOL EXPY
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City | SAN JOSE
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State | CA
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Zip | 95121-2415
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Country | US
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Telephone | 408-281-1311
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Fax | 408-281-1331
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Provider Business Mailing Address
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Address Line | 1013 E CAPITOL EXPY
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City | SAN JOSE
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State | CA
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Zip | 95121-2415
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Country | US
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Telephone | 408-281-1311
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Fax | 408-281-1331
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JENNIFER BUI
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Credential | O.D.
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Telephone | 408-223-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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