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General NPI Number Information
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NPI Number | 1376717389
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Entity Type | Individual
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Provider Name | MISTY L BENDALL APRN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | SC HOUSE CALLS INC. 111 DOCTORS CIR.
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 800-491-0909
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Fax | 606-218-4651
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Provider Business Mailing Address
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Address Line | SC HOUSE CALLS INC. 111 DOCTORS CIR.
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 800-491-0909
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Fax | 606-218-4651
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024167782
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN230334
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3011007
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License Number State | KY
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