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General NPI Number Information
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NPI Number | 1164192027
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Entity Type | Individual
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Provider Name | KAITLYN BENDER APN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1 RIVERFRONT PLZ STE 300
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City | NEWARK
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State | NJ
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Zip | 07102-5412
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Country | US
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Telephone | 201-273-7047
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Fax | 855-998-4358
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Provider Business Mailing Address
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Address Line | 1216 CLOVER RD
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City | BRICK
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State | NJ
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Zip | 08724-1013
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Country | US
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Telephone | 732-610-8136
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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 | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | 26NJ01190400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NJ2601190400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | 26NJ01190400
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License Number State | NJ
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