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General NPI Number Information
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NPI Number | 1972270452
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Entity Type | Individual
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Provider Name | JAIME BUI DMD
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Gender | Female
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 3651 JUSTIN RD STE 130
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2544
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Country | US
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Telephone | 972-874-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 JUSTIN RD STE 130
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2544
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Country | US
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Telephone | 214-516-5875
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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 | DD5510
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 37928
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License Number State | TX
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