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General NPI Number Information
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NPI Number | 1952841462
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Entity Type | Organization
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Legal Business Name | DIANE BUI DO CORP
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 31805 TEMECULA PKWY # 741
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City | TEMECULA
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State | CA
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Zip | 92592-8203
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Country | US
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Telephone | 909-953-7677
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Fax |
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Provider Business Mailing Address
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Address Line | 31805 TEMECULA PKWY # 741
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City | TEMECULA
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State | CA
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Zip | 92592-8203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANE T BUI
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Credential | D.O
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Telephone | 909-953-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 20A9296
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License Number State | CA
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