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General NPI Number Information
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NPI Number | 1548322985
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Entity Type | Individual
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Provider Name | KARYL YARDENA BENTAL D.O.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1850 SW FOUNTAINVIEW BLVD STE 105
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-4527
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Country | US
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Telephone | 772-336-2818
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Fax | 772-336-5313
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Provider Business Mailing Address
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Address Line | 900 S PINE ISLAND RD STE 800
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City | PLANTATION
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State | FL
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Zip | 33324-3923
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Country | US
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Telephone | 772-336-2818
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Fax | 772-336-5313
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP61482874
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 051198
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OP61482874
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS19766
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License Number State | FL
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