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General NPI Number Information
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NPI Number | 1730175977
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Entity Type | Individual
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Provider Name | SHELBY L BENTZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 4105 EMPIRE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0637
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Country | US
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Telephone | 661-325-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 TRUXTUN AVE STE 275
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3044
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Country | US
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Telephone | 661-335-7755
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Fax | 661-335-7766
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G80199
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License Number State | CA
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