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General NPI Number Information
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NPI Number | 1033442017
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Entity Type | Individual
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Provider Name | MELISSA M. BUNCE PA
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3487 BROADWAY
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City | FORT MYERS
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State | FL
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Zip | 33901-7213
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Country | US
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Telephone | 393-334-9555
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Fax | 239-334-2832
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Provider Business Mailing Address
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Address Line | 3487 BROADWAY
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City | FORT MYERS
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State | FL
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Zip | 33901-7213
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Country | US
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Telephone | 393-334-9555
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Fax | 239-334-2832
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6696
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07003
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9115504
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License Number State | FL
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