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Individual
MARY E BENTLEY
Active
Individual
MARY E BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000080693
GHI
—
01
—
00026562601
UNIVERA
—
05
—
02444622
—
NY
01
—
4999810
GHI
—
01
—
9212131
INDEPENDENT HEALTH
—
01
—
C=000640206002
COMMUNITY BLUE
—
01
—
O=000640206001
WNYBCBS
—
Enumeration date
09/20/2006
Last updated
07/08/2007
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