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General NPI Number Information
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NPI Number | 1750371720
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Entity Type | Individual
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Provider Name | BRENDA J BENDER MD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 101 CARNIE BLVD
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City | VOORHEES
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State | NJ
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Zip | 08043-1548
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Country | US
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Telephone | 856-325-3000
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Fax | 856-325-3157
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Provider Business Mailing Address
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Address Line | 1020 LAUREL OAK RD SUITE 201
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City | VOORHEES
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State | NJ
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Zip | 08043-3518
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Country | US
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Telephone | 856-782-3300
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Fax | 856-504-8029
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 25MA07648400
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License Number State | NJ
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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 | 25MA07648400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | C10008838
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | C10008838
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License Number State | DE
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