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General NPI Number Information
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NPI Number | 1033531835
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Entity Type | Individual
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Provider Name | SARAH JOY BENDER NNP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 520 E 6TH ST
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City | ODESSA
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State | TX
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Zip | 79761-4527
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Country | US
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Telephone | 432-550-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 SE 2000
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City | ANDREWS
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State | TX
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Zip | 79714-6252
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Country | US
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Telephone | 619-248-8083
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 95000223
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 1016765
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License Number State | TX
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