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General NPI Number Information
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NPI Number | 1356758544
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Entity Type | Individual
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Provider Name | BERNADINE BUNT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 475 W FINNIE FLAT RD
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City | CAMP VERDE
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State | AZ
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Zip | 86322-7398
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Country | US
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Telephone | 928-567-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 475 W FINNIE FLAT RD
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City | CAMP VERDE
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State | AZ
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Zip | 86322-7398
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Country | US
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Telephone | 928-567-2274
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S020237
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3660
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0020073
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License Number State | CO
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