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General NPI Number Information
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NPI Number | 1992034250
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Entity Type | Individual
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Provider Name | ADELE CONSTANCE BUNCKE MD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 3130 DEL MONTE BLVD
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City | MARINA
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State | CA
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Zip | 93933-3047
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Country | US
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Telephone | 831-883-3333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2300
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City | SALINAS
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State | CA
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Zip | 93902-2300
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Country | US
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Telephone | 831-649-1000
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G72247
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License Number State | CA
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