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General NPI Number Information
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NPI Number | 1770557241
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Entity Type | Individual
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Provider Name | ROBERT V BUNDY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 44 BLAINE AVE
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City | BEDFORD
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State | OH
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Zip | 44146-2709
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Country | US
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Telephone | 440-735-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 16311 MUNN RD
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-5172
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Country | US
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Telephone | 440-542-1607
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.056636
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-056636
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License Number State | OH
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