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General NPI Number Information
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NPI Number | 1336700442
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Entity Type | Individual
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Provider Name | NICOLE E BUNKER LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2285 BENDEN DR
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City | WOOSTER
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State | OH
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Zip | 44691-2568
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Country | US
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Telephone | 330-264-9029
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 BENDEN DR
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City | WOOSTER
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State | OH
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Zip | 44691-2568
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Country | US
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Telephone | 330-264-9029
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2202797
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1801474-TRNE
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1902260
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2202797-SUPV
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License Number State | OH
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