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General NPI Number Information
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NPI Number | 1184649006
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Entity Type | Organization
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Legal Business Name | BENDA HEALTHCARE, INC.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 1039 ISLINGTON ST UNIT 16 FORMERLY 10 VAUGHAN MALL, SUITE 16
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4262
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Country | US
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Telephone | 603-431-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 1039 ISLINGTON ST STE 16 FORMERLY 10 VAUGHAN MALL, SUITE 16
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4262
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Country | US
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Telephone | 603-431-0505
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IVAN D BENDA
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Credential |
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Telephone | 603-431-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 02272
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License Number State | NH
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