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General NPI Number Information
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NPI Number | 1609878586
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Entity Type | Individual
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Provider Name | BUNYAN STEPHENS DUDLEY MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 507 SANDPIPER CIR
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City | NASHVILLE
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State | TN
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Zip | 37221-4387
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Country | US
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Telephone | 615-570-2515
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Fax | 615-252-5296
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Provider Business Mailing Address
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Address Line | 507 SANDPIPER CIR
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City | NASHVILLE
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State | TN
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Zip | 37221-4387
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Country | US
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Telephone | 615-570-2515
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Fax | 615-252-5296
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD011965
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License Number State | TN
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