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General NPI Number Information
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NPI Number | 1003275124
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Entity Type | Organization
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Legal Business Name | FOUNDATION MEDICAL LLC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 11600 BUSY ST STE 203
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-4066
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Country | US
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Telephone | 804-506-0526
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Fax | 804-506-0526
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Provider Business Mailing Address
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Address Line | 11600 BUSY ST STE 203
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-4066
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Country | US
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Telephone | 804-506-0526
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Fax | 804-506-0526
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY JAMES BUNTON
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Credential | MD
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Telephone | 804-506-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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