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General NPI Number Information
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NPI Number | 1427185792
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Entity Type | Individual
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Provider Name | GAIL EVELYN BUNCE ADULT NP, BC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 208 COLLYER ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1560
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Country | US
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Telephone | 401-793-2355
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Fax | 401-793-7624
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Provider Business Mailing Address
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Address Line | 119 KIWANEE RD
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City | WARWICK
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State | RI
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Zip | 02888-4040
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Country | US
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Telephone | 401-463-5312
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NPP18642
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License Number State | RI
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