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General NPI Number Information
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NPI Number | 1154487676
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Entity Type | Individual
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Provider Name | HAROLD BENDELSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 463 BEACH 6TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5439
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Country | US
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Telephone | 718-868-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 463 BEACH 6TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5439
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Country | US
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Telephone | 718-868-3063
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 160938
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License Number State | NY
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