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General NPI Number Information
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NPI Number | 1659603090
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Entity Type | Individual
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Provider Name | MARK IAN BENDER MD, DC
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Gender | Male
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-2757
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Country | US
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Telephone | 352-273-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 KUHL AVE # MP31
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City | ORLANDO
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State | FL
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Zip | 32806-2008
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Country | US
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Telephone | 407-841-5133
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Fax | 407-237-6313
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9908
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 149225
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME149225
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME149225
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME149225
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License Number State | FL
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