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General NPI Number Information
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NPI Number | 1699235648
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Entity Type | Individual
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Provider Name | WILLIAM IVAN BUNIAK DO
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Gender | Male
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Dates
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Enumeration Date | 03/24/2019
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 5112 W TAFT RD STE H
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City | LIVERPOOL
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State | NY
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Zip | 13088-4991
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Country | US
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Telephone | 315-410-7499
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Fax | 315-410-7490
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Provider Business Mailing Address
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Address Line | 5112 W TAFT RD STE H
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City | LIVERPOOL
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State | NY
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Zip | 13088-4991
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Country | US
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Telephone | 315-452-3235
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Fax | 315-452-5726
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 337198
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License Number State | NY
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