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General NPI Number Information
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NPI Number | 1992236327
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Entity Type | Individual
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Provider Name | JAMES BUI DDS
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Gender | Male
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 1601 N TEXAS AVE STE 150
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City | BRYAN
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State | TX
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Zip | 77803-1857
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Country | US
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Telephone | 979-200-2307
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 OYSTER BAY DR
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City | SUGAR LAND
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State | TX
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Zip | 77478-4703
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Country | US
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Telephone | 917-684-6878
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 37012
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License Number State | TX
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