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General NPI Number Information
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NPI Number | 1689697039
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Entity Type | Individual
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Provider Name | JESSICA L BUNIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 4494 N PALMER RD
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City | BETHESDA
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State | MD
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Zip | 20889-1109
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Country | US
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Telephone | 301-295-3665
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Fax |
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Provider Business Mailing Address
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Address Line | 4494 N PALMER RD
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-404-7467
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01055120A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01055120A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | D0072919
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License Number State | MD
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