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General NPI Number Information
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NPI Number | 1932234481
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Entity Type | Organization
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Legal Business Name | INA K BENDIS MD PHD FCCP INC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3129 BARKLEY AVE
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City | SANTA CLARA
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State | CA
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Zip | 95051-2300
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Country | US
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Telephone | 408-248-0248
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Fax |
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Provider Business Mailing Address
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Address Line | 3129 BARKLEY AVE
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City | SANTA CLARA
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State | CA
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Zip | 95051-2300
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Country | US
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Telephone | 408-248-0248
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. INA K BENDIS
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Credential | M.D.
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Telephone | 408-248-0248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G34466
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License Number State | CA
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