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General NPI Number Information
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NPI Number | 1356158018
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Entity Type | Individual
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Provider Name | TIMOTHY BUNCH
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Gender | Male
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1218 N MAIN ST
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City | RUSHVILLE
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State | IN
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Zip | 46173-1114
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Country | US
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Telephone | 765-745-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 920 COUNTY LINE RD
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City | BATESVILLE
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State | IN
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Zip | 47006-9008
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Country | US
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Telephone |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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