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General NPI Number Information
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NPI Number | 1316927767
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Entity Type | Individual
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Provider Name | JUNE REBECCA TUNSTALL MD
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 401-405 HOPEWELL STREET
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City | HOPEWELL
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State | VA
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Zip | 23860-2817
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Country | US
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Telephone | 804-458-6396
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Fax | 804-458-4934
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Provider Business Mailing Address
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Address Line | 67 COLONIAL TRL E PO BOX 354
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City | SURRY
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State | VA
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Zip | 23883-9997
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Country | US
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Telephone | 757-294-3188
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Fax | 757-294-0108
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101029877
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License Number State | VA
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