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General NPI Number Information
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NPI Number | 1205193018
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Entity Type | Individual
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Provider Name | DINA BENDAVID
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | ONE MARINERS LANDING, #A
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City | EDGARTOWN
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State | MA
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Zip | 02539
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Country | US
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Telephone | 216-324-3462
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Fax | 508-290-9002
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Provider Business Mailing Address
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Address Line | 70 LAKE RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-2517
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Country | US
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Telephone |
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Fax | 508-290-9002
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 281637
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License Number State | MA
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