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General NPI Number Information
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NPI Number | 1770733545
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Entity Type | Individual
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Provider Name | KATHERINE MARIE BUNTE B.C.B.A.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 1303 LORRAIN ST
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City | AUSTIN
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State | TX
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Zip | 78703-4020
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Country | US
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Telephone | 512-472-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 WELLS BRANCH PKWY APT 915
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City | AUSTIN
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State | TX
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Zip | 78728-7015
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Country | US
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Telephone | 281-467-9437
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-06-2962
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License Number State | TX
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