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General NPI Number Information
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NPI Number | 1841253408
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Entity Type | Individual
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Provider Name | BUD W ZUNINO ARNP
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 3175 POCAHONTAS RD
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City | BAKER CITY
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State | OR
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Zip | 97814-1434
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Country | US
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Telephone | 541-523-4415
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Fax | 541-523-2399
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Provider Business Mailing Address
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Address Line | 3195 N 2ND ST
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City | BAKER CITY
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State | OR
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Zip | 97814-1809
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Country | US
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Telephone | 360-357-8822
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Fax | 541-523-2399
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP30005998
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200750136NP
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License Number State | OR
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