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General NPI Number Information
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NPI Number | 1164439493
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Entity Type | Individual
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Provider Name | ROBERT T BENTLEY DC
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2901 E 20TH ST SUITE 105
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City | FARMINGTON
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State | NM
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Zip | 87402-4411
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Country | US
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Telephone | 505-564-8555
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Fax | 505-564-8556
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Provider Business Mailing Address
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Address Line | 2901 E 20TH ST SUITE 105
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City | FARMINGTON
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State | NM
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Zip | 87402-4411
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Country | US
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Telephone | 505-564-8555
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Fax | 505-564-8556
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1463
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License Number State | NM
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