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General NPI Number Information
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NPI Number | 1427203355
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Entity Type | Organization
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Legal Business Name | STEPHEN R BUNKER MD
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/21/2008
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Provider Practice Location Address
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Address Line | 1700 CALIFORNIA ST SUITE 260
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4586
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Country | US
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Telephone | 415-921-7226
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Fax | 415-921-7225
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Provider Business Mailing Address
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Address Line | 1700 CALIFORNIA ST SUITE 260
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4586
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Country | US
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Telephone | 415-921-7226
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Fax | 415-921-7225
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN R BUNKER
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Credential | M.D.
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Telephone | 415-921-7226
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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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