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General NPI Number Information
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NPI Number | 1295031466
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Entity Type | Individual
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Provider Name | CARL JAMES BENDER M.A.
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Gender | Male
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 1200 SPRINGFIELD DR
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City | CHICO
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State | CA
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Zip | 95928-6340
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Country | US
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Telephone | 530-342-4885
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Fax |
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Provider Business Mailing Address
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Address Line | 361 PINEWOOD DR
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City | PARADISE
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State | CA
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Zip | 95969-5770
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Country | US
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Telephone | 530-877-6679
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6543
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License Number State | CA
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