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General NPI Number Information
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NPI Number | 1427014117
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Entity Type | Individual
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Provider Name | STEPHEN RAYMOND BUNKER MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 2712 BEE CAVES RD SUITE #122
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City | AUSTIN
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State | TX
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Zip | 78746-5676
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Country | US
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Telephone | 512-726-0599
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Fax | 800-308-9876
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Provider Business Mailing Address
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Address Line | 2712 BEE CAVES RD SUITE 122
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City | AUSTIN
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State | TX
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Zip | 78746-5676
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Country | US
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Telephone | 512-726-0599
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Fax | 800-308-9876
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G36647
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | G36647
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | G0961
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License Number State | TX
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