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General NPI Number Information
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NPI Number | 1871429183
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Entity Type | Individual
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Provider Name | THOMAS JASON BENDER
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Gender | Male
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 700 US HIGHWAY 46 STE 420
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City | FAIRFIELD
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State | NJ
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Zip | 07004-1532
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Country | US
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Telephone | 973-882-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 144 SANDPIPER LN
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City | GRAND ISLAND
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State | NY
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Zip | 14072-3313
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Country | US
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Telephone | 716-426-5276
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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