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NPI Code Detail

MEDICARE: HEATHER ANN BENDURE

MEDICARE: HEATHER ANN BENDURE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1669304747
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER ANN BENDURE
Provider Business Mailing Address
First Line : 5352 SUMMIT RD
Second Line :
City : LYNDHURST
State : OH
Zip : 44124-2816
Country : US
Telephone Number : 814-240-9232
Fax Number :
Provider Business Practice Location Address
First Line : 205 WADSWORTH RD
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-9580
Country : US
Telephone Number : 234-217-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ HEATHER ANN BENDURE ” Practice Location

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