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General NPI Number Information
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NPI Number | 1457434748
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Entity Type | Organization
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Legal Business Name | ALEXANDER BUNT JR., DO ASSOCIATES
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 422 E 22ND ST
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City | CHESTER
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State | PA
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Zip | 19013-5201
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Country | US
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Telephone | 610-872-2200
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Fax | 610-876-9741
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Provider Business Mailing Address
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Address Line | 422 E 22ND ST
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City | CHESTER
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State | PA
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Zip | 19013-5201
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Country | US
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Telephone | 610-872-2200
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Fax | 610-876-9741
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Authorized Official
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Title or Position | PRIMARY CARE PHYSICIAN
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Name | DR. ALEXANDER BUNT JR.
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Credential | DO
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Telephone | 610-872-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS-003928L
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License Number State | PA
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