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General NPI Number Information
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NPI Number | 1528299468
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Entity Type | Individual
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Provider Name | JOEL REED BENDER MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 300 RENAISSANCE DRIVE MC 482-C10-092
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City | DETROIT
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State | MI
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Zip | 48265
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Country | US
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Telephone | 313-665-1642
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Fax |
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Provider Business Mailing Address
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Address Line | 47970 RAVELLO CT
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City | NORTHVILLE
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State | MI
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Zip | 48167-9821
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Country | US
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Telephone | 313-665-1642
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Fax | 313-665-1652
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 4301082927
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 35059559B
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD0000014318
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License Number State | TN
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