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General NPI Number Information
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NPI Number | 1588791891
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Entity Type | Individual
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Provider Name | PAUL F. BENDER LICSW
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 TER HEUN DR
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City | FALMOUTH
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State | MA
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Zip | 02540-2525
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Country | US
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Telephone | 508-540-6550
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Fax | 508-540-7480
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Provider Business Mailing Address
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Address Line | PO BOX 1728
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City | BREWSTER
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State | MA
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Zip | 02631-7728
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Country | US
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Telephone | 508-896-6922
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Fax | 413-383-5613
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110257
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License Number State | MA
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