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General NPI Number Information
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NPI Number | 1144560384
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Entity Type | Individual
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Provider Name | MARY ELIZABETH BENDER APRN
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Gender | Female
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 2819 35TH AVE
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City | GREELEY
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State | CO
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Zip | 80634-9421
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Country | US
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Telephone | 970-652-2801
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Fax | 970-392-6874
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Provider Business Mailing Address
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Address Line | 2224 76TH AVENUE CT
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City | GREELEY
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State | CO
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Zip | 80634-7405
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Country | US
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Telephone | 307-460-1863
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24106.1228
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License Number State | WY
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