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General NPI Number Information
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NPI Number | 1013133610
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Entity Type | Individual
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Provider Name | ROBERT MARTIN BUNCHER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4908 MONUMENT AVE SUITE 200
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City | RICHMOND
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State | VA
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Zip | 23230-3613
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Country | US
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Telephone | 804-502-8622
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Fax |
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Provider Business Mailing Address
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Address Line | 2845 WATERFORD WAY W
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City | RICHMOND
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State | VA
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Zip | 23233-1644
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Country | US
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Telephone | 804-364-3784
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Fax | 804-364-3784
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810002682
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License Number State | VA
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