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General NPI Number Information
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NPI Number | 1083850820
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Entity Type | Organization
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Legal Business Name | JEFFREY G. BENTSON, M.D., PLLC
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 4161 TAMIAMI TRL UNIT 101
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-9204
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Country | US
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Telephone | 941-625-0984
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Fax | 941-625-0877
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Provider Business Mailing Address
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Address Line | 4161 TAMIAMI TRL UNIT 101
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-9204
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Country | US
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Telephone | 941-625-0984
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Fax | 941-625-0877
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JEFFREY G BENTSON
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Credential | M.D.
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Telephone | 941-625-0984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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