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General NPI Number Information
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NPI Number | 1265199228
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Entity Type | Organization
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Legal Business Name | BENTLEY ADVANCED PRACTICE CLINICIANS INC
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 3300 N TRIUMPH BLVD STE 100&200
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City | LEHI
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State | UT
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Zip | 84043-5023
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Country | US
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Telephone | 801-436-6556
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Fax | 833-921-2195
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Provider Business Mailing Address
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Address Line | 10461 N CANTERBURY DR
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City | HIGHLAND
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State | UT
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Zip | 84003-9305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA REED BENTLEY
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Credential | PMHNP
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Telephone | 801-436-6556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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