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General NPI Number Information
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NPI Number | 1508864406
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Entity Type | Individual
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Provider Name | CHARLENE N BUNGER WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 300 STONECREST BLVD STE 310
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City | SMYRNA
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State | TN
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Zip | 37167-6801
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Country | US
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Telephone | 629-206-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 170 VILLAGE CENTER BLVD
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-6618
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Country | US
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Telephone | 843-449-5848
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Fax | 843-692-0908
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 23863
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License Number State | SC
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