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General NPI Number Information
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NPI Number | 1376651950
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN BUNN DC
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1496 E 5600 S STE 5
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City | SOUTH OGDEN
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State | UT
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Zip | 84403-4823
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Country | US
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Telephone | 16-892-5928
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Fax |
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Provider Business Mailing Address
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Address Line | 1496 E 5600 S STE 5
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City | SOUTH OGDEN
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State | UT
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Zip | 84403-4823
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Country | US
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Telephone | 801-689-2592
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 287585-1202
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO08351
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License Number State | GA
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