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General NPI Number Information
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NPI Number | 1275188393
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Entity Type | Individual
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Provider Name | CANDACE BENTLEY APNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 8532 W CAPITOL DR STE L100
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City | MILWAUKEE
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State | WI
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Zip | 53222-1850
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Country | US
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Telephone | 414-249-4566
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Fax | 414-238-9489
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Provider Business Mailing Address
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Address Line | 8532 W CAPITOL DR STE L100
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City | MILWAUKEE
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State | WI
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Zip | 53222-1850
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Country | US
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Telephone | 414-249-4566
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Fax | 414-238-9489
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9238-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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