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NPI 1649208943

NPI 1649208943 : DAVID SCOTT BENDER MD : RIVERTON, WY

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General NPI Number Information
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    NPI Number           |    1649208943
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID SCOTT BENDER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/28/2006
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    1005 COLLEGE VIEW DR 
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    City                 |    RIVERTON
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    State                |    WY
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    Zip                  |    82501-2289
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    Country              |    US
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    Telephone            |    307-857-3488
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    Fax                  |    307-857-5215
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Provider Business Mailing Address
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    Address Line         |    1005 COLLEGE VIEW DR 
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    City                 |    RIVERTON
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    State                |    WY
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    Zip                  |    82501-2289
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    Country              |    US
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    Telephone            |    307-857-3488
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    Fax                  |    307-857-5215
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    2018-00603
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    6629A
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    License Number State |    WY
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