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General NPI Number Information
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NPI Number | 1487649869
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Entity Type | Individual
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Provider Name | JAMES DEAN BUNKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 825 S WILLOW ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5279
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Country | US
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Telephone | 308-534-1700
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Fax | 308-534-8689
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Provider Business Mailing Address
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Address Line | 825 S WILLOW ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5279
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Country | US
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Telephone | 308-534-1700
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Fax | 308-534-8689
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 20039
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License Number State | NE
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