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General NPI Number Information
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NPI Number | 1023099975
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Entity Type | Individual
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Provider Name | DEBRA LYNNE BUNGER MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1201 PLEASANT VALLEY RD
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City | OWENSBORO
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State | KY
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Zip | 42303-9811
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Country | US
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Telephone | 270-417-7732
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Fax |
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Provider Business Mailing Address
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Address Line | 9055 SOQUEL DRIVE SUITE G
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City | APTOS
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State | CA
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Zip | 95003-4039
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Country | US
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Telephone | 831-708-2919
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Fax | 831-708-2937
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A049526
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License Number State | CA
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