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General NPI Number Information
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NPI Number | 1811938301
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Entity Type | Individual
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Provider Name | ROBERT LEE BENTZ II D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 4820 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4628
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Country | US
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Telephone | 561-689-5500
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Fax | 561-689-5504
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Provider Business Mailing Address
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Address Line | 21 OCEAN DR
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City | JUPITER
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State | FL
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Zip | 33469-3512
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Country | US
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Telephone | 561-741-3826
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS4392
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License Number State | FL
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