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General NPI Number Information
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NPI Number | 1265984223
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Entity Type | Organization
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Legal Business Name | SANDRA BENDER M.D., A PROFESSIONAL CORP
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 77824 WILDCAT DR
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City | PALM DESERT
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State | CA
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Zip | 92211-1134
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Country | US
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Telephone | 708-769-6581
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Fax | 708-874-8284
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Provider Business Mailing Address
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Address Line | 77824 WILDCAT DR
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City | PALM DESERT
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State | CA
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Zip | 92211-1134
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Country | US
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Telephone | 708-769-6581
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Fax | 708-874-8284
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Authorized Official
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Title or Position | OWNER, CEO
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Name | DR. SANDRA ANN BENDER
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Credential | MD
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Telephone | 708-769-6581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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