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General NPI Number Information
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NPI Number | 1326735382
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Entity Type | Individual
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Provider Name | ANNEKE BENDER PT
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Gender | Female
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 202 BEREAN AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-1104
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Country | US
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Telephone | 404-213-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 202 BEREAN AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-1104
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Country | US
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Telephone | 404-213-9696
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP010794T
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT6691
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP026902T
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT009131
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License Number State | GA
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