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General NPI Number Information
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NPI Number | 1790639342
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Entity Type | Organization
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Legal Business Name | BEND NATIONAL VETERAN & DOT EXAM CENTER, LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 3184 W BROAD ST STE D
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City | COLUMBUS
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State | OH
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Zip | 43204-1327
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Country | US
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Telephone | 614-657-5157
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Fax |
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Provider Business Mailing Address
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Address Line | 735 DUGAN RIDGE DR # A
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City | BLACKLICK
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State | OH
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Zip | 43004-7124
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Country | US
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Telephone | 614-657-5157
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Fax |
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Authorized Official
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Title or Position | CNP
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Name | VICTORINE ANKONGBE NDEMATEBEM
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Credential |
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Telephone | 614-657-5157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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