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General NPI Number Information
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NPI Number | 1225701584
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Entity Type | Individual
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Provider Name | BROOKE BENDER APRN.CNP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 689 E ALTAMONTE DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4801
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Country | US
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Telephone | 407-767-7262
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Fax | 407-775-5002
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Provider Business Mailing Address
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Address Line | 4160 LITTLE YORK RD STE 20
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City | DAYTON
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State | OH
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Zip | 45414-5803
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Country | US
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Telephone | 937-454-9527
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Fax | 937-454-9532
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1048533
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0031389
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0000079
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11036325
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License Number State | FL
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