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General NPI Number Information
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NPI Number | 1760738736
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Entity Type | Organization
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Legal Business Name | GIL BENDER, MD INC.
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 18344 CLARK ST SUITE 202
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City | TARZANA
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State | CA
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Zip | 91356-3505
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Country | US
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Telephone | 562-508-9667
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Fax | 562-391-4410
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Provider Business Mailing Address
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Address Line | 3561 IRIS CIR
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City | SEAL BEACH
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State | CA
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Zip | 90740-3121
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Country | US
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Telephone | 562-508-9667
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Fax | 562-391-4410
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. GIL BENDER
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Credential | MD
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Telephone | 562-508-9667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G79285
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License Number State | CA
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