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General NPI Number Information
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NPI Number | 1043478456
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Entity Type | Individual
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Provider Name | GERALD STEWART BUNTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2700 DOLBEER ST
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City | EUREKA
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State | CA
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Zip | 95501-4736
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Country | US
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Telephone | 707-269-4253
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Fax | 707-269-3802
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Provider Business Mailing Address
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Address Line | 2700 DOLBEER ST
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City | EUREKA
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State | CA
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Zip | 95501-4736
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Country | US
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Telephone | 707-269-4253
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Fax | 707-269-3802
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 30806
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A121358
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License Number State | CA
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