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General NPI Number Information
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NPI Number | 1013724004
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Entity Type | Organization
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Legal Business Name | MICHAEL YUNKER LLC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 2500 NE TWIN KNOLLS DR STE 260
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City | BEND
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State | OR
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Zip | 97701-4786
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Country | US
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Telephone | 971-202-0063
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 NE TWIN KNOLLS DR STE 260
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City | BEND
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State | OR
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Zip | 97701-4786
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Country | US
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Telephone | 971-202-0063
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL V YUNKER
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Credential | MA
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Telephone | 971-202-0063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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