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General NPI Number Information
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NPI Number | 1154724201
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Entity Type | Individual
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Provider Name | DEBORAH A PUNSHON PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 6651 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-8442
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Country | US
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Telephone | 330-498-9865
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Fax | 330-498-9869
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Provider Business Mailing Address
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Address Line | 6651 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-8442
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Country | US
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Telephone | 330-498-9865
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Fax | 440-277-8196
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 50.003829RX
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License Number State | OH
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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 | 50.003829
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License Number State | OH
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